Full Name | A Brand New Day |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 92 W 5th St, Fremont, Nebraska |
Authorized Official Name and Position | Mark Robert Porter (THERAPIST) |
Authorized Official Contact | 4027277278 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
A Brand New Day 92 W 5th St Ste B Fremont NE 68025 Ph: (402) 727-7278 | A Brand New Day 92 W 5th St Ste B Fremont NE 68025 Ph: (402) 727-7278 |
NPI Number | 1932420643 |
---|---|
Provider Enumeration Date | 06/16/2010 |
Last Update Date | 06/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932420643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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