Individual
MS. RACHEL MICHELLE KOEPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.L.M.H.P.
Contact information
Practice address
722 S LINCOLN AVE, SUITE 1, YORK, NE 68467-4242
(402) 362-6128
(402) 362-7012
Mailing address
722 S LINCOLN AVE, SUITE 1, YORK, NE 68467-4242
(402) 362-6128
(402) 362-7012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P8862
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47052851509
—
NE
01
—
47052851582
MEDICAID
NE
Enumeration date
06/08/2009
Last updated
06/08/2009
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