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NPI Code Detail

MEDICARE: CHRISTINE MARIE ENGLE

MEDICARE: CHRISTINE MARIE ENGLE
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
1101YM0800XMental Health Counselor3745NE
2101YM0800XMental Health Counselor1516NE
3101YA0400XAddiction (Substance Use Disorder) Counselor1498NE

General Provider Information

NPI Number : 1255530671
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MARIE ENGLE
Provider Business Mailing Address
First Line : 1941 S 42ND ST STE 514
Second Line :
City : OMAHA
State : NE
Zip : 68105-2981
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1941 S 42ND ST STE 328
Second Line :
City : OMAHA
State : NE
Zip : 68105-2943
Country : US
Telephone Number : 402-614-8444
Fax Number : 402-614-8443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2007
Last Update Date : 02/09/2024

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