Individual
ANDY WOLLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHP, CPC
Contact information
Practice address
2041 E 56TH ST, KEARNEY, NE 68847-4179
(308) 236-7145
(308) 236-7150
Mailing address
2041 E 56TH ST, KEARNEY, NE 68847-4179
(308) 236-7145
(308) 236-7150
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2375
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47079796127
—
NE
Enumeration date
05/08/2007
Last updated
07/09/2007
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