Individual
BEAU SEDLACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMHP
Contact information
Practice address
3901 PINE LAKE RD STE 410, LINCOLN, NE 68516-5497
(402) 434-2730
(402) 434-3970
Mailing address
9100 ANDERMATT DR STE 1, LINCOLN, NE 68526-6700
(402) 434-2730
(402) 434-3970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2559
NE
Other
Enumeration date
07/18/2018
Last updated
12/02/2020
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