| Tec | |
|
3623 S 114th St Omaha NE 68144-4604 | |
| (402) 676-2069 | |
| Not Available |
| Full Name | Tec |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3623 S 114th St, Omaha, Nebraska |
| Authorized Official Name and Position | Raymond Victor Burke (PRESIDENT) |
| Authorized Official Contact | 4026762069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tec 3623 S 114th St Omaha NE 68144-4604 Ph: (402) 676-2069 | Tec 3623 S 114th St Omaha NE 68144-4604 Ph: (402) 676-2069 |
| NPI Number | 1164838470 |
|---|---|
| Provider Enumeration Date | 07/08/2014 |
| Last Update Date | 07/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164838470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4130 (Nebraska) | Primary |
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