Individual
MR. BROCK THORNBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIMHP, CMSW
Contact information
Practice address
9239 W CENTER RD, OMAHA, NE 68124-1933
(402) 354-6891
Mailing address
9239 W CENTER RD STE 201, OMAHA, NE 68124-1900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1720
NE
101YM0800X
Mental Health Counselor
9607
NE
Other
Enumeration date
03/22/2012
Last updated
02/17/2022
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