Mr. Eric S Thomalla, LADC805

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174696314

Mr. Eric S Thomalla, LADC805 is an Addiction (Substance Use Disorder) Counselor in Wahoo, Nebraska. Licensed in Nebraska. Registered with an NPI since 2006.

Licensed in: NE
In the registry since: 2006

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Practice location Address checks out

543 N Linden St Blue Valley Behavioral Health
Wahoo, NE 68066-1960
Phone: (402) 443-4414
Fax: (402) 443-3462

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary)	Taxonomy 101YA0400X (NE)

Record details

NPI number	1174696314
Entity type	Individual (Type 1)
Gender	Male
Credentials	LADC805
Sole proprietor	No
NPI enumerated	November 16, 2006
Last updated in NPPES	August 6, 2009