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Organization

CHMP LLC

Active
Other names
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Organization subpart
No

Provider details

NPI number
Authorized official
CHANDRA M PETERSEN LMHP LADC (OWNER)
(402) 533-3680
Entity
Organization

Contact information

Practice address
1630 WASHINGTON ST, BLAIR, NE 68008-1656
(402) 533-3680
(402) 533-4411
Mailing address
PO BOX 589, BLAIR, NE 68008-0589
(402) 533-3680
(402) 533-4411

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
731
NE
101YM0800X
Mental Health Counselor
Primary
2997
NE

Other

Enumeration date
03/10/2009
Last updated
03/10/2009
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