Individual
KIM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3810 CENTRAL AVE, KEARNEY, NE 68847-8134
(308) 237-5951
(308) 234-4018
Mailing address
3810 CENTRAL AVE, KEARNEY, NE 68847-8134
(308) 237-5951
(308) 234-4018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PLADC P366
NE
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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