Individual
KYLE BRANDYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMHP, LADC
Contact information
Practice address
110 N BAILEY AVE, NORTH PLATTE, NE 69101-5436
(308) 534-0440
Mailing address
110 N BAILEY AVE, P.O. BOX 1208, NORTH PLATTE, NE 69101-5436
(308) 534-0440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1385
NE
101YM0800X
Mental Health Counselor
1243
NE
101YM0800X
Mental Health Counselor
Primary
1796
NE
101YM0800X
Mental Health Counselor
4849
NE
101YP2500X
Professional Counselor
2319
NE
Other
Enumeration date
12/28/2016
Last updated
01/16/2019
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