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Organization

HIDDEN DIMENSIONS COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER STEWART GRAY MA, NCC, LIMHP, LIPC (CEO)
(402) 575-9499
Entity
Organization

Contact information

Practice address
2808 N 75TH ST, OMAHA, NE 68134-6861
(402) 575-9499
Mailing address
3205 POPPLETON AVE APT 12, OMAHA, NE 68105-2062
(402) 639-4757

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
109
NE
101YM0800X
Mental Health Counselor
Primary
109
NE

Other

Enumeration date
09/25/2017
Last updated
09/25/2017
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