Individual
ADDYSON RIAN TIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 HARNEY ST STE 105, OMAHA, NE 68102-1838
(402) 252-8181
Mailing address
5003 W STAMPEDE LN, LINCOLN, NE 68528-2220
(402) 239-8690
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NE
Other
Enumeration date
07/07/2023
Last updated
08/21/2023
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