Healthcare Provider Details

I. General information

NPI: 1447301999
Provider Name (Legal Business Name): JANET E DOBESH LMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 06/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 S D ST
BROKEN BOW NE
68822-1949
US

IV. Provider business mailing address

1032 SOUTH E ST
BROKEN BOW NE
68822-1949
US

V. Phone/Fax

Practice location:
  • Phone: 308-872-2123
  • Fax: 308-872-2123
Mailing address:
  • Phone: 308-872-2123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1674
License Number StateNE

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: