Organization
GREG MUCKLOW COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA J VAVRA (BILLING SPECIALIST)
(308) 627-6126
Entity
Organization
Contact information
Practice address
2217 W 12TH ST STE 4, HASTINGS, NE 68901-3660
(308) 238-1428
(855) 838-8884
Mailing address
2217 W 12TH ST STE 4, HASTINGS, NE 68901-3660
(308) 238-1428
(855) 838-8884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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