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Individual

DUSTIN E BARTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHP, LADC, LPC

Contact information

Practice address
5600 S 59TH ST, STE 104, LINCOLN, NE 68516-2386
(402) 484-0595
(402) 484-6306
Mailing address
3001 FLETCHER AVE APT 153, LINCOLN, NE 68504-1031
(402) 450-9753

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
885
NE
101YM0800X
Mental Health Counselor
Primary
3511
NE

Other

Enumeration date
10/10/2008
Last updated
01/06/2012
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