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NPI Code Detail

MEDICARE: METSCHKE COUNSELING CENTER

MEDICARE: METSCHKE COUNSELING CENTER
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 Counselor981NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356607816
Entity Type Code : Organization
Provider Name (Legal Business Name) : METSCHKE COUNSELING CENTER
Provider Business Mailing Address
First Line : 2979 LITTLE SALT RD
Second Line :
City : SEWARD
State : NE
Zip : 68434-7803
Country : US
Telephone Number : 402-646-0103
Fax Number :
Provider Business Practice Location Address
First Line : 128 N 6TH ST STE F
Second Line :
City : SEWARD
State : NE
Zip : 68434-2072
Country : US
Telephone Number : 402-646-0103
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : AMY METSCHKE
Credential : LADC
Telephone Number : 402-646-0103
Provider Enumeration Date : 04/09/2012
Last Update Date : 04/09/2012

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Directions to “METSCHKE COUNSELING CENTER ” Practice Location

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