Organization
OGALLALA COUNSELING INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY ANN FRATES MCMAHON MS LIMHP LADC (THERAPIST PRESIDENT)
(308) 289-6519
Entity
Organization
Contact information
Practice address
103 E 10TH ST, OGALLALA, NE 69153-1442
(308) 284-6519
(308) 284-6513
Mailing address
103 E 10TH ST, OGALLALA, NE 69153-1442
(308) 284-6519
(308) 284-6513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346034000
MAGELLAN
NE
Enumeration date
12/18/2006
Last updated
07/21/2022
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