Individual
INDRA ANITA BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
770 N COTNER BLVD STE 330, LINCOLN, NE 68505-2377
(402) 948-4702
Mailing address
1546 TRELAWNEY DR, LINCOLN, NE 68512-1834
(402) 310-8098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13791
NE
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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