Individual
MR. VICTOR LEE GEHRIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
305 FOCH ST, GORDON, NE 69343-1709
(308) 282-1101
(308) 282-1372
Mailing address
PO BOX 428, GORDON, NE 69343-0428
(308) 282-1101
(308) 282-1372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
880
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025528800
—
NE
05
—
47073437686
—
NE
Enumeration date
11/22/2011
Last updated
11/22/2011
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