| Jcb Therapy Llc | |
|
11605 W Dodge Rd Ste 4 Omaha NE 68154-2566 | |
| (402) 881-6050 | |
| (531) 999-2356 |
| Full Name | Jcb Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11605 W Dodge Rd Ste 4, Omaha, Nebraska |
| Authorized Official Name and Position | Jayna Baczwaski (OWNER) |
| Authorized Official Contact | 4028816050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcb Therapy Llc 11605 W Dodge Rd Ste 4 Omaha NE 68154-2566 Ph: (402) 881-6050 | Jcb Therapy Llc 11605 W Dodge Rd Ste 4 Omaha NE 68154-2566 Ph: (402) 881-6050 |
| NPI Number | 1144767245 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 11/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144767245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1115 (Nebraska) | Primary |
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