| Jdm Counseling Services, Llc | |
|
11840 Nicholas St Ste 101 Omaha NE 68154-4475 | |
| (402) 201-5684 | |
| Not Available |
| Full Name | Jdm Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11840 Nicholas St Ste 101, Omaha, Nebraska |
| Authorized Official Name and Position | Tomeka C Johnson (BILLING/CREDENTIALING SPEC.) |
| Authorized Official Contact | 4028857672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jdm Counseling Services, Llc 11840 Nicholas St Ste 101 Omaha NE 68154-4475 Ph: (402) 201-5684 | Jdm Counseling Services, Llc 11840 Nicholas St Ste 101 Omaha NE 68154-4475 Ph: (402) 201-5684 |
| NPI Number | 1841722873 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 03/28/2022 |
| Certification Date | 03/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841722873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | P-1393 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 4937 (Nebraska) | Primary |
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