Individual
DOUGLAS ANDREW STAHLECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLADC
Contact information
Practice address
1900 VICKI LN, NORFOLK, NE 68701-4558
(402) 370-3140
Mailing address
1900 VICKI LN, NORFOLK, NE 68701-4558
(402) 370-3140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-2030
NE
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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