Individual
KAREN M GRANBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, CPC
Contact information
Practice address
421 N PEARL ST RM 206, WAYNE, NE 68787-1904
(402) 369-4752
Mailing address
PO BOX 14, WAYNE, NE 68787-0014
(402) 375-1506
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1004
NE
101YM0800X
Mental Health Counselor
Primary
1004
NE
101YP2500X
Professional Counselor
851
NE
Other
Enumeration date
01/04/2019
Last updated
01/29/2019
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