Individual
JOEY BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
14916 Z CIR, OMAHA, NE 68137-2560
(402) 957-0521
Mailing address
4732 S 131ST ST, OMAHA, NE 68137-1822
(402) 697-3923
(402) 697-3924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10177
NE
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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