Provider Demographics
NPI:1528233830
Name:GENEREUX, JOHN FRANCIS (LMHP, PLADC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FRANCIS
Last Name:GENEREUX
Suffix:
Gender:M
Credentials:LMHP, PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 GALVIN RD N
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-4857
Mailing Address - Country:US
Mailing Address - Phone:402-292-7712
Mailing Address - Fax:402-292-0144
Practice Address - Street 1:205 GALVIN RD N
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-4857
Practice Address - Country:US
Practice Address - Phone:402-292-7712
Practice Address - Fax:402-292-0144
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-714101YA0400X
NE3736101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)