MEDICARE: SHARON KAY PARTUSCH OWEN LMHP, LADC

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	329	NE
2	101YM0800X	Mental Health Counselor	1788	NE
3	101YP2500X	Professional Counselor	1074	NE

General Provider Information

NPI Number	:	1952486714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON KAY PARTUSCH OWEN LMHP, LADC

Provider Business Mailing Address
First Line	:	8031 W CENTER RD STE 203
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-3134
Country	:	US
Telephone Number	:	402-740-4136
Fax Number	:

Provider Business Practice Location Address
First Line	:	8031 W CENTER RD STE 203
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-3134
Country	:	US
Telephone Number	:	402-740-4136
Fax Number	:

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/11/2016

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