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Individual

BRIAN CROUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LIPC

Contact information

Practice address
604 N SAINT JOSEPH AVE, HASTINGS, NE 68901-7530
(402) 310-5607
(360) 363-5607
Mailing address
604 N SAINT JOSEPH AVE, HASTINGS, NE 68901-7530
(402) 310-5607
(360) 363-5607

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3779
NE
101YM0800X
Mental Health Counselor
Primary
989
NE
101YP2500X
Professional Counselor
1880
NE

Other

Enumeration date
09/03/2013
Last updated
09/03/2013
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