Individual
SHANDELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6316 N 51ST AVE, OMAHA, NE 68104-1331
(402) 880-2762
Mailing address
6316 N 51ST AVE, OMAHA, NE 68104-1331
(402) 880-2762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-2214
NE
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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