Individual
ERICKA KRISTINE BLEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
2410 S 48TH AVE, OMAHA, NE 68106-3225
(402) 590-4420
Mailing address
904 WILLOW AVE, BELLEVUE, NE 68005-2842
(402) 590-4420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1466
NE
Other
Enumeration date
02/03/2020
Last updated
12/13/2022
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