Doctor Name: | MS. ELIZABETH ANNE FICHTEL |
NPI Number: | 1073915112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLMHP |
License Number: | |
Business Practice Address: | 8610 Brentwood Dr Suite 1 La Vista, NE - 681283377 |
Business Phone Number: | 4023313232 |
Business Fax Number: | 4023311557 |
Mailing Address: | 8610 Brentwood Dr, Suite 1 LA VISTA |
State: | NE |
Postal Code: | 681283377 |
Phone Number: | 4023313232 |
Fax Number: | 4023311557 |
NPI Enumeration Date: | 09/19/2014 |
NPI Last Update Date: | 09/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |