Individual
MRS. TANYA JEAN GORMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LADC ACADC CCGC
Contact information
Practice address
515 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 322-1407
(712) 322-6833
Mailing address
13522 BIRCHWOOD AVE, OMAHA, NE 68137-4223
(402) 871-9028
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CCGC 021
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACADC
IA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC
NE
Other
Enumeration date
08/15/2005
Last updated
09/11/2025
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