Individual
MS. VANESSA A SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
4719 PRESCOTT AVE, LINCOLN, NE 68506-5456
(402) 413-9147
(402) 261-7149
Mailing address
3121 S 37TH ST, LINCOLN, NE 68506-6106
(402) 416-2118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1302
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470398819
—
NE
Enumeration date
01/17/2014
Last updated
04/03/2024
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