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NPI Code Detail

MEDICARE: MS. MARIE FRANCES OROURKE LPC

MEDICARE:  MS. MARIE FRANCES OROURKE  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor1560NE

General Provider Information

NPI Number : 1134162050
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIE FRANCES OROURKE LPC
Provider Business Mailing Address
First Line : 11435 FARNAM CIR
Second Line :
City : OMAHA
State : NE
Zip : 68154-3132
Country : US
Telephone Number : 402-330-6596
Fax Number :
Provider Business Practice Location Address
First Line : 2132 S 42ND ST
Second Line :
City : OMAHA
State : NE
Zip : 68105-2910
Country : US
Telephone Number : 402-558-1858
Fax Number : 402-558-8970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 07/08/2007

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Directions to “ MS. MARIE FRANCES OROURKE LPC” Practice Location

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