Individual provider · Type 1 NPI
Alexandra Odile Gorup
Mental Health Counselor · Omaha, NE
NPI number
1457741050
Active
Practice location
9012 Q St
Omaha, NE 68127-3549
Fax (402) 559-5737
Mailing address
985450 Nebraska Medical Ctr
Omaha, NE 68198-5450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 11018 (NE) |
| Behavior Analyst | 103K00000X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1457741050
Alexandra Odile Gorup's National Provider Identifier is 1457741050, issued on Feb 3, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on Sep 21, 2017.