Individual
GREG MUCKLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2217 W 12TH ST STE 4, HASTINGS, NE 68901-3660
(308) 238-1428
Mailing address
2217 W 12TH ST STE 4, HASTINGS, NE 68901-3660
(308) 238-1428
(855) 838-8884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
969
NE
101YM0800X
Mental Health Counselor
Primary
1407
NE
Other
Enumeration date
10/04/2010
Last updated
12/07/2023
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