Graduated: 1999
NPI: 1225179609
Practice Locations (3)
2170 N PLATTE AVE
Fremont, NE 680252630
2170 N PLATTE AVE
FREMONT, NE 680252630
2170 N PLATTE AVE, AWARENESS COUNSELING
FREMONT, NE 680252630
4027536440
Source: CMS National Downloadable File, September 2026.