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Individual

BRUCE EDWARD MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHP

Contact information

Practice address
124 S 24TH ST, SUITE 230, OMAHA, NE 68102-1226
(402) 978-5656
(402) 591-5075
Mailing address
1410 E GOLD COAST RD, SUITE 200, PAPILLION, NE 68046-5799
(402) 592-0639
(402) 592-0014

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1429
NE
1041C0700X
Clinical Social Worker
Primary
539
NE
1041C0700X
Clinical Social Worker
764
NE

Other

Enumeration date
11/02/2006
Last updated
11/10/2010
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