person
Tengorn Phaisan
Addiction (Substance Use Disorder) Counselor in Lincoln, Nebraska
NPI 1548479157

Tengorn Phaisan is an Addiction (Substance Use Disorder) Counselor based in Lincoln, NE and is specialized in Addiction (Substance Use Disorder). Tengorn Phaisan practices in Lincoln, NE. The NPI Number for Tengorn Phaisan is 1548479157 and holds a License No. 8166 (Nebraska).

The current practice location address for Tengorn Phaisan is 1700 S 24Th St, Lincoln, NE and can be reached out via phone at 402-435-2273.

Location: 1700 S 24Th St, Lincoln, NE, 68502-3056
person
Provider Profile Details
NPI Number
1548479157
Provider Name
Tengorn Phaisan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1700 S 24Th St, Lincoln, NE, 68502-3056
Phone Number
402-435-2273
Fax Number
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1700 S 24Th St
City
State
Zip
68502-3056
Phone Number
402-435-2273
Fax Number
person
Provider Business Mailing Address Details
Address
1700 S 24Th St
City
State
Zip
68502-3056
Phone Number
402-435-2273
Fax Number
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...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
8166 (Nebraska)
Definition
Definition to come...
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