Individual
MISS AMBER J GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
2052 DEER PARK BLVD, OMAHA, NE 68108-1917
(402) 558-7088
Mailing address
2052 DEER PARK BLVD, OMAHA, NE 68108-1917
(402) 558-7088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1895
NE
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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