Individual
MISS BRANDY KAY GUSTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHP, PLADC
Contact information
Practice address
5835 N 90TH ST, OMAHA, NE 68134-1856
(402) 573-5111
(402) 573-5019
Mailing address
5835 N 90TH ST, OMAHA, NE 68134-1856
(402) 573-5111
(402) 573-5019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P278
NE
101YM0800X
Mental Health Counselor
Primary
2712
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100250576-00
—
NE
05
—
47083066226
—
NE
05
—
47083066228
—
NE
05
—
47083066230
—
NE
01
—
85243
BXBS PROVIDER NO
NE
Enumeration date
08/31/2006
Last updated
09/11/2025
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