Doctor Name: | JUDI L. LEIBROCK |
NPI Number: | 1497873707 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHP, LADC |
License Number: | 546 |
Business Practice Address: | 9239 W Center Rd Suite # 207 Omaha, NE - 681241900 |
Business Phone Number: | 4023548000 |
Business Fax Number: | |
Mailing Address: | 9946 Devonshire Dr, OMAHA |
State: | NE |
Postal Code: | 681143852 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 546 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |