Individual
BROOKE JOEL WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
301 W SHERMAN ST, RAVENNA, NE 68869-1024
(402) 326-5103
Mailing address
301 W SHERMAN ST, RAVENNA, NE 68869-1024
(402) 326-5103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3429
NE
101YP2500X
Professional Counselor
1732
NE
Other
Enumeration date
05/02/2007
Last updated
05/04/2012
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