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Organization
PROFESSIONAL CARE COUNSELING SERVICE
Active
Organization
PROFESSIONAL CARE COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS BRIAN FLOREZ PLMHP/PLADC (OUTPATIENT THERAPIST)
(308) 370-1667
Entity
Organization
Contact information
Practice address
205 S CEDAR ST, GRAND ISLAND, NE 68801-6582
(308) 370-1667
(402) 298-2523
Mailing address
205 S CEDAR ST, GRAND ISLAND, NE 68801-6582
(308) 370-1667
(402) 298-2523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1145
NE
101YM0800X
Mental Health Counselor
10016
NE
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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