Provider Demographics
NPI:1750430211
Name:CONSBRUCK, VALERIE J (MS, LMHP)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:J
Last Name:CONSBRUCK
Suffix:
Gender:F
Credentials:MS, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 E 14TH ST
Mailing Address - Street 2:SUITE #3
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-3200
Mailing Address - Country:US
Mailing Address - Phone:402-463-3640
Mailing Address - Fax:402-463-3677
Practice Address - Street 1:223 E 14TH ST
Practice Address - Street 2:SUITE #3
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-3200
Practice Address - Country:US
Practice Address - Phone:402-463-3640
Practice Address - Fax:402-463-3677
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE255101YA0400X
NE1609101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE82384OtherBLUE CROSS BLUE SHEILD
NE100249647-00Medicaid
NE6009OtherMIDLANDS CHOICE