Individual
MS. MARY JANE GRUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER OF ARTS MA
Contact information
Practice address
2444 O STREET, LINCOLN, NE 68510
(402) 475-7666
(402) 476-9623
Mailing address
2444 O STREET, LINCOLN, NE 68510
(402) 475-7666
(402) 476-9623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
186
NE
101YM0800X
Mental Health Counselor
201
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10180
MIDLANDS CHOICE
NE
01
—
128449
VALUE OPTIONS
NE
01
—
6246120
UNITED BEHAVIORAL HEALTH
NE
01
—
84074
BCBS
NE
Enumeration date
02/05/2007
Last updated
07/08/2007
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