| Jericho Counseling Associates | |
|
1941 S 42nd St Ste 538 Omaha NE 68105-2945 | |
| (402) 344-7000 | |
| (402) 344-8089 |
| Full Name | Jericho Counseling Associates |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1941 S 42nd St Ste 538, Omaha, Nebraska |
| Authorized Official Name and Position | Larry James Duncan (EXECUTIVE) |
| Authorized Official Contact | 4023447000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jericho Counseling Associates 1941 S 42nd St Ste 538 Omaha NE 68105-2945 Ph: (402) 344-7000 | Jericho Counseling Associates 1941 S 42nd St Ste 538 Omaha NE 68105-2945 Ph: (402) 344-7000 |
| NPI Number | 1649493933 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649493933 | NPI | - | NPPES |
| 100254608-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 385 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2166 (Nebraska) | Primary |
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