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Organization

PATHFINDER SUPPORT SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WATSON G. DOUGLAS (EXECUTIVE DIRECTOR)
(402) 721-1414
Entity
Organization

Contact information

Practice address
212 EAST 8TH, FREMONT, NE 68025
(402) 721-1414
(402) 721-9251
Mailing address
212 EAST 8TH STREET, FREMONT, NE 68025
(402) 721-1414
(402) 721-9251

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SATC003
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
08/10/2006
Last updated
07/21/2008
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