Doctor Name: | GLENDA PARDE BEHRENS |
NPI Number: | 1033289160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW LMHP |
License Number: | 1049 |
Business Practice Address: | 729 Seward Street Seward, NE - 68310 |
Business Phone Number: | 4026433343 |
Business Fax Number: | 4026434048 |
Mailing Address: | 18721 S 96th, HICKMAN |
State: | NE |
Postal Code: | 68372 |
Phone Number: | 4027922355 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1049 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |