Individual
MR. GORDY J WHITCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHP LADAC
Contact information
Practice address
1835 E MILITARY AVE, SUITE 111, FREMONT, NE 68025-5477
(402) 721-0245
Mailing address
1481 COUNTY ROAD 29, TEKAMAH, NE 68061-5030
(402) 374-0245
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
137
NE
101YM0800X
Mental Health Counselor
436
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025123300
—
NE
01
—
23036
MIDLANDS CHOICE
NE
01
—
84711
BLUE CROSS
NE
01
—
93586
UNITED HEALTHCARE
NE
Enumeration date
02/25/2007
Last updated
09/11/2025
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