Healthcare Provider Details

I. General information

NPI: 1639540065
Provider Name (Legal Business Name): DEB CHRISTIANSEN COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2015
Last Update Date: 10/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 UNDERWOOD AVE STE 240
OMAHA NE
68114-2685
US

IV. Provider business mailing address

9300 UNDERWOOD AVE STE 240
OMAHA NE
68114-2685
US

V. Phone/Fax

Practice location:
  • Phone: 402-650-0175
  • Fax: 402-905-0093
Mailing address:
  • Phone: 402-650-0175
  • Fax: 402-905-0093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP-1230
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4491
License Number StateNE

VIII. Authorized Official

Name: MS. DEBORAH CHRISTIANSEN
Title or Position: OWNER
Credential: LMHP, PLADC
Phone: 402-650-0175