Individual provider · Type 1 NPI

Walda Bourge, PLMHP

Mental Health Counselor · Omaha, NE

NPI number 1467654418 Active

Practice location

124 S 24th St, Ste 230
Omaha, NE 68102-1226

Call (402) 978-5656 Map

Fax (402) 591-5075

Mailing address

120 E 12th St
North Platte, NE 69101-2365

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7781 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1467654418

Walda Bourge, PLMHP's National Provider Identifier is 1467654418, issued on Jun 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on Jul 8, 2007.