Individual
SUZIE KURPGEWEIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4670
(308) 398-5330
(308) 398-5404
Mailing address
2112 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4670
(308) 398-5330
(308) 398-5404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13276
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13276
PLMHP
NE
01
—
P-2038
PLADC
NE
Enumeration date
02/17/2023
Last updated
02/17/2023
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