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1922883800
JUSTIN MARK REAVIS
LINCOLN, NE
NPI
1922883800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE P-2088)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
JUSTIN MARK REAVIS PlADC
600 N COTNER BLVD STE 119
LINCOLN, NE 68505-2343
Phone number: 402-261-6667
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Mailing Address
JUSTIN MARK REAVIS PlADC
600 N COTNER BLVD STE 119
LINCOLN, NE 68505-2343
Phone number: 402-840-8339
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