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1225479843

NPI Code Detail

MEDICARE: RONICKA SCHOTTEL MA, MS

MEDICARE: RONICKA SCHOTTEL MA, MS

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	1301	NE
2	101YM0800X	Mental Health Counselor	3107	NE

General Provider Information

NPI Number	:	1225479843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONICKA SCHOTTEL MA, MS

Provider Business Mailing Address
First Line	:	9100 ANDERMATT DR STE 1
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68526-6700
Country	:	US
Telephone Number	:	402-434-2730
Fax Number	:	402-434-3970

Provider Business Practice Location Address
First Line	:	9100 ANDERMATT DRIVE
Second Line	:	SUITE 1
City	:	LINCOLN
State	:	NE
Zip	:	68526-0000
Country	:	US
Telephone Number	:	402-434-2730
Fax Number	:	402-434-3970

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2013
Last Update Date	:	10/03/2022

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Directions to “ RONICKA SCHOTTEL MA, MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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