Individual
ROBERT KOLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
920 S 107TH AVE, 200, OMAHA, NE 68114-4719
(402) 213-4086
(402) 333-5620
Mailing address
920 S 107TH AVE, 200, OMAHA, NE 68114-4719
(402) 213-4086
(402) 333-5620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
522
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1260
NE
101YP2500X
Professional Counselor
485
NE
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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