Individual
BRETT MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSE, PLMHP
Contact information
Practice address
815 LAKE AVE, GOTHENBURG, NE 69138-1943
(308) 537-3691
(308) 537-3062
Mailing address
1020 17TH ST, GOTHENBURG, NE 69138-1511
(308) 529-0018
(308) 537-3062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027187200
—
NE
01
—
13023
STATE LICENSE
NE
Enumeration date
05/15/2022
Last updated
06/28/2022
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