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Individual

JOHN RICHARD ATHERTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S. LMHP

Contact information

Practice address
9140 W DODGE RD, 422, OMAHA, NE 68114-3322
(402) 397-2147
(402) 391-2633
Mailing address
9140 W DODGE RD, 422, OMAHA, NE 68114-3322
(402) 397-2147
(402) 391-2633

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3
NE
101YM0800X
Mental Health Counselor
Primary
197
NE

Other

Enumeration date
11/20/2006
Last updated
12/27/2007
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