Individual
MS. KELLEY A LUTJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
4825 AMES AVE, OMAHA, NE 68104-2383
(402) 301-6600
Mailing address
1206 N PLATTE AVE, FREMONT, NE 68025-3563
(402) 250-2113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-2149
NE
Other
Enumeration date
07/19/2019
Last updated
07/25/2024
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