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Organization

MAIN STREET COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOLLY PORTER LADC (PROVIDER)
(402) 275-1961
Entity
Organization

Contact information

Practice address
1735 E MILITARY AVE STE 4, FREMONT, NE 68025-5402
(402) 275-1961
Mailing address
PO BOX 319, CEDAR BLUFFS, NE 68015-0319
(402) 275-1961

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/09/2024
Last updated
10/09/2024
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