Individual
GLADYS M. STENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLADAC
Contact information
Practice address
2551 SPAULDING ST, OMAHA, NE 68111-2986
(402) 905-6296
Mailing address
PO BOX 11275, OMAHA, NE 68111-0275
(402) 905-6296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1537
NE
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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