Organization
LIANE BODE, LMHP, CPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIANE L BODE LIMHP (INDEPENDENT MENTAL HEALTH PRACTIT)
(402) 844-3073
Entity
Organization
Contact information
Practice address
1309 N 9TH ST, NORFOLK, NE 68701-0854
(402) 844-3073
Mailing address
1309 N 9TH ST, NORFOLK, NE 68701-0854
(402) 844-3073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
833
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700919347
—
NE
Enumeration date
02/07/2012
Last updated
02/07/2012
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