Provider Demographics
NPI:1497261309
Name:ARTIAGA, MARIA VERONICA (PLDAC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:VERONICA
Last Name:ARTIAGA
Suffix:
Gender:F
Credentials:PLDAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6530 X ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2246
Mailing Address - Country:US
Mailing Address - Phone:402-875-2583
Mailing Address - Fax:402-405-0031
Practice Address - Street 1:5561 S 48TH ST STE 215D
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4109
Practice Address - Country:US
Practice Address - Phone:402-875-2583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-15
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1514101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)