Professional Care Counseling Service | |
205 S Cedar St Grand Island NE 68801-6582 | |
(308) 370-1667 | |
(402) 298-2523 |
Full Name | Professional Care Counseling Service |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 205 S Cedar St, Grand Island, Nebraska |
Authorized Official Name and Position | Thomas Brian Florez (OUTPATIENT THERAPIST) |
Authorized Official Contact | 3083701667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Professional Care Counseling Service 205 S Cedar St Grand Island NE 68801-6582 Ph: (308) 370-1667 | Professional Care Counseling Service 205 S Cedar St Grand Island NE 68801-6582 Ph: (308) 370-1667 |
NPI Number | 1093118218 |
---|---|
Provider Enumeration Date | 10/01/2014 |
Last Update Date | 10/01/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093118218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | P-1145 (Nebraska) | Primary |
101YM0800X | Counselor - Mental Health | 10016 (Nebraska) | Secondary |
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