Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WYATT DANE CARSON, PLADC
ActiveAddiction (Substance Use Disorder) Counselor · MC COOK, NE
Registration Details
- NPI Number
- 1174771505
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2008 (17.651880038222 yrs)
- Last Updated
- Aug 27, 2008
- License
-
P-628 (NE)
Practice Information
- Address
-
322 NORRIS AVE#5MC COOK, NE, 690013700Browse NE providers · Browse ZIP 69001
- Phone
- 3083455592
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MC COOK, NE
| Name | Credential | NPI |
|---|---|---|
| MRS. JULIE C BURNS | LADC | 1811388028 |
| VICKY LYNN LEIBBRANDT | — | 1528648748 |
| JUDI LYNN SMITH | LADC | 1881378479 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.