Individual
MR. ISAIAH G SHABRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
1203 S 8TH ST, NORFOLK, NE 68701-5875
(402) 500-6870
Mailing address
87342 W 2ND ST, ONEILL, NE 68763-4651
(402) 340-5222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
14587
NE
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2024
Last updated
03/06/2026
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