Individual
BREANNE CROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
910 W PARK AVE, NORFOLK, NE 68701-5044
(402) 379-3622
(402) 644-4593
Mailing address
910 W PARK AVE, NORFOLK, NE 68701-5044
(402) 379-3622
(402) 644-4593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1549
NE
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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