| Mr Eric S Thomalla, LADC805 | |
|
543 N Linden St, Blue Valley Behavioral Health, Wahoo, NE 68066-1960 | |
| (402) 443-4414 | |
| (402) 443-3462 |
| Full Name | Mr Eric S Thomalla |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 543 N Linden St, Wahoo, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174696314 | NPI | - | NPPES |
| 47052851504 | Medicaid | NE | |
| 47052851502 | Medicaid | NE | |
| 10025208700 | Medicaid | NE | |
| 10025208000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eric S Thomalla, LADC805 543 N Linden St, Blue Valley Behavioral Health, Wahoo, NE 68066-1960 Ph: (402) 443-4414 | Mr Eric S Thomalla, LADC805 543 N Linden St, Blue Valley Behavioral Health, Wahoo, NE 68066-1960 Ph: (402) 443-4414 |
Tammy Sassaman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1760 County Road J, Wahoo, NE 68066 Phone: 402-443-4191 Fax: 402-443-1402 | |
Ms. Claudia Jan Davis, LMHP CPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 N Linden St, Blue Valley Behavioral Health, Wahoo, NE 68066 Phone: 402-228-3386 Fax: 402-443-4414 | |
Codi L Camp, LMHP, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 S Walnut St, Wahoo, NE 68066 Phone: 402-413-0159 |