Individual provider · Type 1 NPI

Medjine Desgraves, PLMHP

Mental Health Counselor · Omaha, NE

NPI number 1285250332 Active

Practice location

5217 S 28th St
Omaha, NE 68107-3402

Call (402) 715-5449 Map

Fax (402) 715-5452

Other practice locations

  • 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 · (402) 614-8444

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X12187 (NE)
Mental Health Counselor Primary 101YM0800X3061 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1285250332

Medjine Desgraves, PLMHP's National Provider Identifier is 1285250332, issued on Jun 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on May 31, 2024.