MEDICARE: KATHLEEN DANN'ELLE SWEITZER PLADC

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	2117	NE

General Provider Information

NPI Number	:	1720952708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN DANN'ELLE SWEITZER PLADC

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	:	402-671-8591

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	:	402-671-8591

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

Provider Enumeration Date	:	10/02/2025
Last Update Date	:	10/02/2025

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Directions to “ KATHLEEN DANN'ELLE SWEITZER PLADC” Practice Location

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