Organization
BROOKSTONE COUNSELING AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANISLAVA KNEZEVIC LMHP (COUNSELOR)
(402) 404-0175
Entity
Organization
Contact information
Practice address
1013 NORTH 13 STREET, SUITE 4, NORFOLK, NE 68701-2592
(402) 369-6052
Mailing address
1013 N. 13TH STREET, SUITE 4, NORFOLK, NE 68701-2592
(402) 369-6052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4115
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026415300
—
NE
Enumeration date
12/16/2014
Last updated
12/16/2014
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