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Individual

BRENDA HIEBNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LIMHP

Contact information

Practice address
815 LAKE AVE, GOTHENBURG, NE 69138
(308) 537-3691
(308) 537-3062
Mailing address
1512 AVENUE G, GOTHENBURG, NE 69138-1716
(308) 537-4306

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2162
NE
101YM0800X
Mental Health Counselor
Primary
582
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026398600
NE
Enumeration date
02/05/2007
Last updated
01/30/2020
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