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General NPI Number Information
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NPI Number | 1801481551
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Entity Type | Organization
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Legal Business Name | DIRECTIONS COUNSELING CENTER P.C.
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 110 S 6TH ST STE 221
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City | BEATRICE
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State | NE
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Zip | 68310-3912
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Country | US
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Telephone | 402-239-7844
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Fax |
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Provider Business Mailing Address
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Address Line | 10157 E LILAC RD
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City | BEATRICE
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State | NE
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Zip | 68310-7404
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Country | US
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Telephone | 402-239-7844
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JUSTIN MICHAEL ANTONS
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Credential | PLHMP, PLADC, CDGC
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Telephone | 402-239-7844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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