Doctor Name: | MR. JOEL NATHAN PLACEK |
NPI Number: | 1114144722 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.L.A.D.C. |
License Number: | P507 |
Business Practice Address: | 995 E Highway 33 Suite 1 Crete, NE - 683332551 |
Business Phone Number: | 4028265858 |
Business Fax Number: | 4028265859 |
Mailing Address: | 995 E Highway 33, Suite 1 CRETE |
State: | NE |
Postal Code: | 683332551 |
Phone Number: | 4028265858 |
Fax Number: | 4028265859 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | P507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |