Individual
BRADY RYAN BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP, PLADC
Contact information
Practice address
2912 BAR HARBOR DR, BELLEVUE, NE 68123-2772
(402) 619-0760
Mailing address
2912 BAR HARBOR DR, BELLEVUE, NE 68123-2772
(402) 619-0760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13718
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10029480600
—
NE
Enumeration date
01/26/2024
Last updated
02/02/2025
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