Greg Mucklow, MS

NPI #1063721355 in Hastings, Nebraska

Provider Information

NPI Number: 1063721355
Entity Type: Individual
Name: Greg Mucklow, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MS
Enumeration Date: Oct 4, 2010
Last Updated: Dec 7, 2023

Practice Location

Address: 2217 W 12TH ST STE 4
City: Hastings
State: Nebraska
ZIP Code: 68901-3660
Phone: (308) 238-1428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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