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NPI Code Detail

MEDICARE: MS. DANETTE D REIDL LIMHP

MEDICARE:  MS. DANETTE D REIDL  LIMHP
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 Counselor3095NE

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 : 1548615214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANETTE D REIDL LIMHP
Provider Business Mailing Address
First Line : 4505 AURORA DR
Second Line :
City : OMAHA
State : NE
Zip : 68134-3329
Country : US
Telephone Number : 402-671-8591
Fax Number :
Provider Business Practice Location Address
First Line : 4505 AURORA DR
Second Line :
City : OMAHA
State : NE
Zip : 68134-3329
Country : US
Telephone Number : 402-671-8591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2016
Last Update Date : 01/17/2023

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Directions to “ MS. DANETTE D REIDL LIMHP” Practice Location

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