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18322 Jones St Elkhorn NE 68022-5675 | |
| (402) 496-6258 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18322 Jones St, Elkhorn, Nebraska |
| Authorized Official Name and Position | Linda M. Shadoin-grier (CEO) |
| Authorized Official Contact | 4026597061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
18322 Jones St Elkhorn NE 68022-5675 Ph: (402) 496-6258 | 18322 Jones St Elkhorn NE 68022-5675 Ph: (402) 496-6258 |
| NPI Number | 1013425925 |
|---|---|
| Provider Enumeration Date | 01/12/2018 |
| Last Update Date | 01/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013425925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1628 (Nebraska) | Primary |
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