Individual
ALYSIANNA CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 S LOCUST ST, GRAND ISLAND, NE 68801-8861
(308) 398-0350
(308) 398-0351
Mailing address
2815 S LOCUST ST, GRAND ISLAND, NE 68801-8861
(308) 398-0350
(308) 398-0351
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14249
NE
251S00000X
Community/Behavioral Health Agency
—
NE
Other
Enumeration date
12/27/2021
Last updated
02/17/2025
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