Individual
MELINDA R COCOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LADC
Contact information
Practice address
3912 WRIGHT ST, OMAHA, NE 68105-3442
(531) 999-6429
(877) 991-5647
Mailing address
3912 WRIGHT ST, OMAHA, NE 68105-3442
(531) 999-6429
(877) 991-5647
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1282
NE
101YM0800X
Mental Health Counselor
Primary
2603
NE
Other
Enumeration date
10/15/2010
Last updated
04/12/2023
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