Individual
KANDY PAULINE KONRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
509 E 4TH ST STE C, NORTH PLATTE, NE 69101-6943
(308) 520-4213
Mailing address
PO BOX 731, NORTH PLATTE, NE 69103
(308) 520-4213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1575
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025097300
—
NE
Enumeration date
01/24/2007
Last updated
10/19/2023
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