person
Mr. Eric S Thomalla, LADC805
Addiction (Substance Use Disorder) Counselor in Wahoo, Nebraska
NPI 1174696314

Eric S Thomalla is an Addiction (Substance Use Disorder) Counselor based in Wahoo, NE and is specialized in Addiction (Substance Use Disorder). Eric S Thomalla practices in Wahoo, NE and has the professional credentials of LADC805. The NPI Number for Eric S Thomalla is 1174696314 and holds a License No. (Nebraska).

The current practice location address for Eric S Thomalla is 543 N Linden St, Wahoo, NE and can be reached out via phone at 402-443-4414 and via fax at 402-443-3462.

Location: 543 N Linden St, Wahoo, NE, 68066-1960
person
Provider Profile Details
NPI Number
1174696314
Provider Name
Eric S Thomalla
Credential
LADC805
Provider Entity Type
Individual
Gender
Male
Address
543 N Linden St, Wahoo, NE, 68066-1960
Phone Number
402-443-4414
Fax Number
402-443-3462
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47052851504 05 NE
47052851502 05 NE
10025208700 05 NE
10025208000 05 NE
institution
Provider Business Practice Location Address Details
Address
543 N Linden St
City
State
Zip
68066-1960
Phone Number
402-443-4414
Fax Number
402-443-3462
person
Provider Business Mailing Address Details
Address
543 N Linden St
City
State
Zip
68066-1960
Phone Number
402-443-4414
Fax Number
402-443-3462
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Nebraska)
Definition
Definition to come...
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