Individual
MRS. BROOKE NICHOLE TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
110 N BAILEY AVE, NORTH PLATTE, NE 69101-1209
(308) 534-6029
Mailing address
110 N BAILEY AVE, PO BOX 1209, NORTH PLATTE, NE 69101-1209
(308) 534-6029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1346
NE
101YM0800X
Mental Health Counselor
P-1496
NE
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/26/2017
Last updated
03/26/2020
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