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Organization

CLEAR SKY COUNSELING AND CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEDE FARRAR MA, MFA, PLMHP (SOLE PROPRIETOR)
(308) 430-3918
Entity
Organization

Contact information

Practice address
703 MAPLE ST, CHADRON, NE 69337-2528
(308) 430-3918
(308) 432-4327
Mailing address
703 MAPLE ST, CHADRON, NE 69337-2528
(308) 430-3918
(308) 432-4327

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8341
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10025660300
NEBRASKA MEDICAID
NE
01
6576452
MEDICAID
SD
Enumeration date
10/16/2008
Last updated
10/16/2008
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