Individual
BREANNA KAUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHP, CPC
Contact information
Practice address
8101 O ST STE 300, LINCOLN, NE 68510-2647
(402) 261-3714
Mailing address
8101 O ST STE 300, LINCOLN, NE 68510-2647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4667
NE
Other
Enumeration date
09/27/2011
Last updated
07/17/2017
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