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NPI Code Detail

MEDICARE: MR. TOBIN MARSHALL STREFF LIMHP

MEDICARE: MR. TOBIN MARSHALL STREFF LIMHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor900NE
2101YM0800XMental Health Counselor8457NE
3101YM0800XMental Health Counselor1378NE

General Provider Information

NPI Number : 1215123823
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TOBIN MARSHALL STREFF LIMHP
Provider Business Mailing Address
First Line : 1800 W PASEWALK AVE STE A
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5657
Country : US
Telephone Number : 402-500-6870
Fax Number : 402-500-6871
Provider Business Practice Location Address
First Line : 1800 W PASEWALK AVE STE A
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5657
Country : US
Telephone Number : 402-379-0040
Fax Number : 402-379-0759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2007
Last Update Date : 06/15/2022

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