Individual
MR. LEE DERRICK CLAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7300 S 40TH ST, LINCOLN, NE 68516-3010
(402) 416-0625
Mailing address
7300 S 40TH ST, LINCOLN, NE 68516-3010
(402) 416-0625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1938
NE
101YM0800X
Mental Health Counselor
Primary
12840
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026909200
—
NE
Enumeration date
01/21/2022
Last updated
01/21/2022
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