Individual
TAMMY RENEE BAZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 S 11TH ST, LINCOLN, NE 68502-3559
(402) 475-5161
Mailing address
2202 S 11TH ST, LINCOLN, NE 68502-3559
(402) 475-5161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P2197
NE
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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