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NPI Code Detail

MEDICARE: REBECCA L STAHLECKER LIMHP, LADC, LPC

MEDICARE: REBECCA L STAHLECKER LIMHP, LADC, LPC
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) Counselor1045NE
2101YP2500XProfessional Counselor2096NE
3101YM0800XMental Health Counselor1422NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063717973
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA L STAHLECKER LIMHP, LADC, LPC
Provider Business Mailing Address
First Line : 1800 W PASEWALK AVE
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5656
Country : US
Telephone Number : 402-500-6870
Fax Number : 402-500-6871
Provider Business Practice Location Address
First Line : 3805 25TH ST STE A
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2233
Country : US
Telephone Number : 402-500-6870
Fax Number : 402-500-6871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2011
Last Update Date : 02/03/2021

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