Individual
MISS STACIE LYNN DARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
2406 FOWLER AVE, OMAHA, NE 68111-2013
(402) 453-5656
(402) 455-1811
Mailing address
810 S 34TH ST, COUNCIL BLUFFS, IA 51501-5768
(712) 322-4689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-519
NE
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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