Individual
BRANDI KORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
Mailing address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10824
NE
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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