Individual
MR. KENNETH JAMES MAUSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1919 S 40TH ST, SUITE 212, LINCOLN, NE 68506-5243
(402) 441-9280
(402) 441-9279
Mailing address
1919 S 40TH ST, SUITE 212, LINCOLN, NE 68506-5243
(402) 441-9280
(402) 441-9279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2498
NE
1041C0700X
Clinical Social Worker
Primary
1055
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025734000
—
NE
01
—
249035
MIDLANDS INSURANCE
NE
01
—
456304000
MAGELLAN
NE
05
—
47075636926
—
NE
05
—
47075636930
—
NE
05
—
47075636998
—
NE
01
—
82144
NE BLUE CROSS & BLUE SHEILD
NE
Enumeration date
10/29/2008
Last updated
11/20/2009
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