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NPI 1285957415 · live from the CMS NPI Registry

Sandra Hale Kroeker, PC

Counselor, Mental Health in Henderson, NE. National Provider Identifier 1285957415, active.

NPI record

NPI1285957415 Type 2 · organization
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location1080 17th St, Henderson, NE 68371
Practice phone402-723-4883
Mailing addressPo Box 684, 1080 17th St., Henderson, NE 68371
EnumeratedMarch 2, 2010
Last updatedMarch 2, 2010
Authorized officialSandra Kroeker, Clinical Social Worker

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical1041C0700X76 (NE)
Marriage & Family Therapist106H00000X64 (NE)
Counselor, Mental Health primary101YM0800X33 (NE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.