Individual
CARL RAY MYERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHP, LADC
Contact information
Practice address
1410 E GOLD COAST RD, SUITE 500, PAPILLION, NE 68046-5799
(402) 932-0666
(406) 932-1376
Mailing address
PO BOX 28, PLATTSMOUTH, NE 68048-0028
(402) 932-0666
(402) 932-1376
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
035
NE
101YM0800X
Mental Health Counselor
Primary
139
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025611700
—
NE
Enumeration date
09/23/2006
Last updated
08/07/2010
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