| Gordy J Whitcomb | |
|
748 N Main St Fremont NE 68025-5004 | |
| (402) 374-0245 | |
| (402) 564-7735 |
| Full Name | Gordy J Whitcomb |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 748 N Main St, Fremont, Nebraska |
| Authorized Official Name and Position | Gordy J Whitcomf (OWNER/OPERATOR) |
| Authorized Official Contact | 4023740245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordy J Whitcomb 1481 County Road 29 Tekamah NE 68061-5030 Ph: (402) 374-0245 | Gordy J Whitcomb 748 N Main St Fremont NE 68025-5004 Ph: (402) 374-0245 |
| NPI Number | 1972047074 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972047074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 436 (Nebraska) | Primary |
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