Individual provider · Type 1 NPI
Lacy Rudder, PLDAC
Addiction (Substance Use Disorder) Counselor · Omaha, NE
NPI number
1669169322
Active
Practice location
8502 Mormon Bridge Rd
Omaha, NE 68152-1929
Fax (402) 455-7050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | P-2056 (NE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1669169322
Lacy Rudder, PLDAC's National Provider Identifier is 1669169322, issued on Apr 21, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Omaha, NE. The record was last updated on Apr 21, 2023.