Individual
BRETT OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 322-1407
Mailing address
2211 S 64TH PLZ APT 218, OMAHA, NE 68106-2856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
078410
IA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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