Individual
DANIEL J BRUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11725 ARBOR ST STE 120A, OMAHA, NE 68144-2974
(402) 312-8009
Mailing address
11725 ARBOR ST STE 120A, OMAHA, NE 68144-2974
(402) 312-8009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1689
NE
101YM0800X
Mental Health Counselor
Primary
304
NE
Other
Enumeration date
08/10/2006
Last updated
06/04/2012
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