Individual
SCOTT HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
501 TYSON ST, GLENWOOD, IA 51534-1735
(712) 527-3030
Mailing address
988095 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8095
(402) 559-9800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
545
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
545
STATE LICENSE
NE
Enumeration date
12/13/2006
Last updated
07/08/2007
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