Individual
TAMARA JO DIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP LADC ICADC
Contact information
Practice address
2109 S 24TH ST, LINCOLN, NE 68502-4002
(888) 601-5553
(402) 475-7541
Mailing address
2109 S 24TH ST, LINCOLN, NE 68502-4002
(888) 601-5553
(402) 475-7541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8651
NE
101YM0800X
Mental Health Counselor
P-553
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96118
BCBS
NE
Enumeration date
08/19/2008
Last updated
12/26/2023
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