Individual
OTTO B SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
4626 SOUTHWOOD DR, LINCOLN, NE 68512-1351
(402) 421-3462
(402) 421-3462
Mailing address
4626 SOUTHWOOD DR, LINCOLN, NE 68512-1351
(402) 421-3462
(402) 421-3462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
211
NE
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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