Individual
ROGER M GOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
3314 26TH ST, STE A, COLUMBUS, NE 68601-2304
(402) 564-9888
(402) 564-9899
Mailing address
3002 39TH ST, COLUMBUS, NE 68601-1656
(402) 564-9106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7854
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025268300
—
NE
01
—
202584413
MIDLANDS CHOICE
NE
Enumeration date
12/26/2006
Last updated
07/08/2007
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