MR. Eric S Thomalla, LADC805

NPI #1174696314 in Wahoo, Nebraska

Provider Information

NPI Number
1174696314
Entity Type
Individual
Name
MR. Eric S Thomalla, LADC805
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC805
Enumeration Date
Nov 16, 2006
Last Updated
Aug 6, 2009

Practice Location

Address
543 N LINDEN ST
Address 2
BLUE VALLEY BEHAVIORAL HEALTH
City
Wahoo
ZIP Code
68066-1960
Phone
(402) 443-4414

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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