Individual
GREGG LEE MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
4383 NICHOLAS ST, OMAHA, NE 68131-1008
(402) 916-9421
Mailing address
6415 S 175TH ST, OMAHA, NE 68135-3065
(402) 916-9421
(402) 999-8221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14713
NE
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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