person
Mr. Thomas C. Booth, MA
Professional Counselor in Lincoln, Nebraska
NPI 1144394180

Thomas C. Booth is a Professional Counselor based in Lincoln, NE and is specialized in Professional. Thomas C. Booth practices in Lincoln, NE and has the professional credentials of MA. The NPI Number for Thomas C. Booth is 1144394180 and holds a License No. 0013 (Nebraska).

The current practice location address for Thomas C. Booth is 210 Gateway Mall, Lincoln, NE and can be reached out via phone at 402-434-2730.

Location: 210 Gateway Mall, Lincoln, NE, 68505-2489
person
Provider Profile Details
NPI Number
1144394180
Provider Name
Thomas C. Booth
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
210 Gateway Mall, Lincoln, NE, 68505-2489
Phone Number
402-434-2730
Fax Number
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
68505A008 01 NE TRICARE
47075636930 05 NE
85540 01 NE BLUE CROSS & BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
210 Gateway Mall
City
State
Zip
68505-2489
Phone Number
402-434-2730
Fax Number
person
Provider Business Mailing Address Details
Address
210 Gateway Mall
City
State
Zip
68505-2489
Phone Number
402-434-2730
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1547 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2987 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0013 (Nebraska)
Definition
Definition to come...
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