Individual
JOHN GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6818 GROVER ST STE 301, OMAHA, NE 68106-3632
(531) 466-2326
(531) 772-0266
Mailing address
3240 S 45TH ST, OMAHA, NE 68106-4028
(531) 466-2326
(531) 772-0266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1326
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
20008
IA
101YM0800X
Mental Health Counselor
099193
IA
101YM0800X
Mental Health Counselor
Primary
2008
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027158400
—
NE
Enumeration date
12/06/2019
Last updated
08/11/2022
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