Organization
BSM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE J LANE MS, BS, AA (PRESIDENT)
(308) 284-9811
Entity
Organization
Contact information
Practice address
215 N SPRUCE ST, OGALLALA, NE 69153-2552
(308) 284-9811
(308) 284-4100
Mailing address
PO BOX 299, OGALLALA, NE 69153-0299
(308) 284-9811
(308) 284-4100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
426
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100256664-00
—
NE
Enumeration date
09/10/2008
Last updated
09/10/2008
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