Individual
DOYLE D DAISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 W 5TH ST, HASTINGS, NE 68901-5104
(402) 463-5684
Mailing address
616 W 5TH ST, HASTINGS, NE 68901-5104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-316
NE
101YM0800X
Mental Health Counselor
2663
NE
101YM0800X
Mental Health Counselor
Primary
77
NE
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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