| Professional Care Counseling Service | |
|
205 S Cedar St Grand Island NE 68801-6582 | |
| (308) 370-1667 | |
| (402) 298-2523 |
| Full Name | Professional Care Counseling Service |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 205 S Cedar St, Grand Island, Nebraska |
| Authorized Official Name and Position | Thomas Brian Florez (OUTPATIENT THERAPIST) |
| Authorized Official Contact | 3083701667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Care Counseling Service 205 S Cedar St Grand Island NE 68801-6582 Ph: (308) 370-1667 | Professional Care Counseling Service 205 S Cedar St Grand Island NE 68801-6582 Ph: (308) 370-1667 |
| NPI Number | 1093118218 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093118218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | P-1145 (Nebraska) | Primary |
| 101YM0800X | Counselor - Mental Health | 10016 (Nebraska) | Secondary |
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