Individual
KENNETH BEAU BORYCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.E, LMHP, LADC
Contact information
Practice address
2240 LANDON CT, OMAHA, NE 68102-2414
(402) 346-0902
(402) 342-5290
Mailing address
2240 LANDON CT, OMAHA, NE 68102-2414
(402) 346-0902
(402) 342-5290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1111
NE
101YM0800X
Mental Health Counselor
Primary
4898
NE
Other
Enumeration date
12/03/2015
Last updated
10/20/2020
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