Individual
JUDI BINIAMOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1330 S 156TH CT APT 101, OMAHA, NE 68130-2575
(402) 321-1956
Mailing address
1330 S 156TH CT APT 101, OMAHA, NE 68130-2575
(402) 321-1956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
462
NE
101YM0800X
Mental Health Counselor
1785
NE
Other
Enumeration date
07/15/2013
Last updated
07/23/2013
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