Individual
JUAN ANTONIO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLADC
Contact information
Practice address
4432 SUNRISE PL, COLUMBUS, NE 68601-3958
(402) 564-9994
(402) 562-6458
Mailing address
4432 SUNRISE PL, COLUMBUS, NE 68601-3958
(402) 564-9994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-2118
NE
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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