SCOTT HALVERSON

GLENWOOD, IA
NPI1811058795
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  545)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- SCOTT HALVERSON LADC
501 TYSON ST
GLENWOOD, IA 51534-1735
Phone number: 712-527-3030
Mailing Address
-- SCOTT HALVERSON LADC
988095 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8095
Phone number: 402-559-9800
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