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Individual

MR. DAVID BRUCE HILSABECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6109 NW 9TH ST, LINCOLN, NE 68521
(402) 641-6721
Mailing address
6109 NW 9TH ST, LINCOLN, NE 68521-3710
(402) 489-9792

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-625
NE
101YM0800X
Mental Health Counselor
8467
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025102600
NE
Enumeration date
07/27/2007
Last updated
06/10/2008
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