| Main Street Counseling | |
|
1735 E Military Ave Ste 4 Fremont NE 68025-5402 | |
| (402) 275-1961 | |
| Not Available |
| Full Name | Main Street Counseling |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1735 E Military Ave Ste 4, Fremont, Nebraska |
| Authorized Official Name and Position | Holly Porter (PROVIDER) |
| Authorized Official Contact | 4022751961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Counseling Po Box 319 Cedar Bluffs NE 68015-0319 Ph: (402) 275-1961 | Main Street Counseling 1735 E Military Ave Ste 4 Fremont NE 68025-5402 Ph: (402) 275-1961 |
| NPI Number | 1902625650 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902625650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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