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Individual

DR. JUSTIN RICHARD BROGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LIMHP, LPC

Contact information

Practice address
2132 S 42ND ST, OMAHA, NE 68105-2910
(402) 558-1858
(402) 558-8970
Mailing address
2132 S 42ND ST, OMAHA, NE 68105-2910
(402) 558-1858
(402) 558-8970

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001052
IA
101YM0800X
Mental Health Counselor
1626
NE
101YM0800X
Mental Health Counselor
3132
NE
101YM0800X
Mental Health Counselor
Primary
481
NE

Other

Enumeration date
11/12/2008
Last updated
06/18/2010
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