Organization
MBS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY L GONNERMAN LIMHP (OWNER)
(402) 875-9270
Entity
Organization
Contact information
Practice address
3600 VILLAGE DR STE 110, LINCOLN, NE 68516-6631
(402) 875-9270
(402) 875-9272
Mailing address
3600 VILLAGE DR STE 110, LINCOLN, NE 68516-6631
(402) 875-9270
(402) 875-9272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
485
NE
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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