Organization
GOOD LIFE COUNSELING & SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKY E KETTLER (ADMINISTRATOR)
(402) 371-3044
Entity
Organization
Contact information
Practice address
3306 RAASCH AVENUE, NORFOLK, NE 68702-2315
(402) 371-3044
(402) 371-9643
Mailing address
PO BOX 2315, NORFOLK, NE 68702-2315
(402) 371-3044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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