MR. Wyatt Dane Carson, PLADC

NPI #1174771505 in Mc Cook, Nebraska

Provider Information

NPI Number
1174771505
Entity Type
Individual
Name
MR. Wyatt Dane Carson, PLADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
PLADC
Enumeration Date
Aug 27, 2008
Last Updated
Aug 27, 2008

Practice Location

Address
322 NORRIS AVE
Address 2
#5
ZIP Code
69001-3700
Phone
(308) 345-5592

Specialties & Taxonomy Codes

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

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