Individual
MS. STEPHANIE BRUNDIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S 17TH ST, NORFOLK, NE 68701-4724
(402) 371-7215
(402) 371-2521
Mailing address
401 S 17TH ST, NORFOLK, NE 68701-4724
(402) 371-7215
(402) 371-2521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8012
NE
1041C0700X
Clinical Social Worker
6506
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97059
BLUE CROSS BLUE SHIELD
NE
Enumeration date
12/29/2006
Last updated
09/11/2025
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