Individual
MRS. MICHELE CHRISTINE GROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP, PLADC
Contact information
Practice address
4406 S 178TH ST, OMAHA, NE 68135-3475
(402) 612-3845
Mailing address
4406 S 178TH ST, OMAHA, NE 68135-3475
(402) 612-3845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-808
NE
101YM0800X
Mental Health Counselor
8899
NE
Other
Enumeration date
06/03/2010
Last updated
07/06/2013
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