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Individual

MRS. NATALIE ANN GUARDIOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LIMHP, LADC

Contact information

Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-4432
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-4432

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P527
NE
101YM0800X
Mental Health Counselor
3064
NE
1041C0700X
Clinical Social Worker
Primary
1202
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025057600
NE
05
47083066226
NE
05
47083066228
NE
05
47083066230
NE
Enumeration date
08/31/2006
Last updated
06/13/2011
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