| Cor Therapeutic Services, Llc | |
|
614 N 4th St Ste 104 Oneill NE 68763-1317 | |
| (402) 500-6870 | |
| (402) 500-6871 |
| Full Name | Cor Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 614 N 4th St Ste 104, Oneill, Nebraska |
| Authorized Official Name and Position | Nicky Kettler (COOWNER) |
| Authorized Official Contact | 4025006870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cor Therapeutic Services, Llc 1800 W Pasewalk Ave Ste A Norfolk NE 68701-5657 Ph: (402) 500-6870 | Cor Therapeutic Services, Llc 614 N 4th St Ste 104 Oneill NE 68763-1317 Ph: (402) 500-6870 |
| NPI Number | 1922683903 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Certification Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922683903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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