Individual
JANICE ROCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LIMHP
Contact information
Practice address
1811 W 2ND ST, 360, GRAND ISLAND, NE 68803-5413
(308) 398-6050
(308) 398-6051
Mailing address
2317 APACHE RD, GRAND ISLAND, NE 68801-7500
(308) 398-6050
(308) 398-6051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
45
NE
101YM0800X
Mental Health Counselor
1121
NE
101YM0800X
Mental Health Counselor
Primary
465
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025168300
—
NE
01
—
345584000
MAGELLEAN
NE
01
—
84596
BLUE CROSS BLUE SHIELD
NE
Enumeration date
11/15/2006
Last updated
05/01/2012
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