Individual
LAURENCE DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
Mailing address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13771
NE
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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