Individual
RANDALL JON URIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLADC
Contact information
Practice address
1640 LAKE ST, LINCOLN, NE 68502-3734
(402) 481-5396
Mailing address
1640 LAKE ST, LINCOLN, NE 68502-3734
(402) 481-5396
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1194
NE
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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