Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNON BOLTER, LADC, IADC, PCDGC
ActiveAddiction (Substance Use Disorder) Counselor · OMAHA, NE
Registration Details
- NPI Number
- 1376177071
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2020 (6.1368508186735 yrs)
- Last Updated
- Nov 14, 2024
- Licenses
-
22R101 (IA)51 (NE)1439 (NE)
Practice Information
- Address
-
108 N 49TH ST STE B103OMAHA, NE, 681323172Browse NE providers · Browse ZIP 68132
- Phone
- 4022003808
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN JAYNE SCHLEGEL | LADC | 1760474902 |
| MR. HARLAN HERBERT VOGEL | MHP CPC CCGC NCGC | 1184616724 |
| MS. NANON RENEE PERDAEMS-VIGEN | LPC LMHP LANC | 1285627653 |
| MARY KATHLEEN CASEY | MSW, LMHP, LADC | 1326034166 |
| JAMES R KING | LADC | 1821047986 |
| DONALD S GILLESPIE | LADC | 1649214701 |
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.