Individual
TIM SCOTT HUSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
210 GATEWAY MALL, GREENTREE COURT, SUITE 342, LINCOLN, NE 68505-2489
(402) 434-2730
(402) 441-9287
Mailing address
210 GATEWAY MALL, GREENTREE COURT, SUITE 342, LINCOLN, NE 68505-2489
(402) 434-2730
(402) 441-9287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
903
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345680000
MAGELLAN
—
05
—
47075636930
—
NE
01
—
99037
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/07/2011
Last updated
04/07/2011
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