| Doctor Name: | THERESA KAY FELDMAN |
| NPI Number: | 1154461929 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHP, LIMHP, LADC |
| License Number: | 736 |
| Business Practice Address: | 308 W 4th St Ste 1 North Platte, NE - 691013828 |
| Business Phone Number: | 3085320777 |
| Business Fax Number: | |
| Mailing Address: | 308 W 4th St Ste 1, NORTH PLATTE |
| State: | NE |
| Postal Code: | 691013828 |
| Phone Number: | 3085320777 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 02/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 736 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |