Organization Name: | ANN BROST MA COUNSELING AGENCY |
NPI Number: | 1467639583 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA ANN BROST (OWNER LMHP THERAPIST) |
Mailing Address: | 301 West 2nd St Chadron |
State: | NE US |
Postal Code: | 69337 |
Phone Number: | 3084326779 |
Fax Number: | 3084326874 |
NPI Enumeration Date: | 01/31/2008 |
NPI Last Update Date: | 12/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2653 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |