Organization
HEARTLAND FAMILY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JEANETTA (PRESIDENT / CEO)
(402) 552-7402
Entity
Organization
Contact information
Practice address
1503 AVENUE J, COUNCIL BLUFFS, IA 51501-1170
(712) 435-5350
Mailing address
2101 S 42ND ST, OMAHA, NE 68105-2947
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/19/2008
Last updated
08/31/2010
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