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Organization
WELLNESS COUNSELING
Active
Organization
WELLNESS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BROCK LIMHP, LADC (THERAPIST)
(402) 499-4028
Entity
Organization
Contact information
Practice address
120 E 6TH ST STE 4B, LEXINGTON, NE 68850-1905
(402) 499-4028
(308) 832-9622
Mailing address
1505 N TYLER ST, LEXINGTON, NE 68850-1431
(402) 499-4028
(308) 832-9622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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