| Sybil Jackson Pc Corp | |
|
9374 N St Omaha NE 68127-2307 | |
| (402) 779-9438 | |
| Not Available |
| Full Name | Sybil Jackson Pc Corp |
|---|---|
| Speciality | Counselor |
| Location | 9374 N St, Omaha, Nebraska |
| Authorized Official Name and Position | Sybil Nanette Jackson (THERAPIST) |
| Authorized Official Contact | 4027799438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sybil Jackson Pc Corp 9374 N St Omaha NE 68127-2307 Ph: (402) 779-9438 | Sybil Jackson Pc Corp 9374 N St Omaha NE 68127-2307 Ph: (402) 779-9438 |
| NPI Number | 1508392382 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 9234669714 |
|---|---|
| Medicare Enrollment ID | O20250213000896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508392382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4946 (Nebraska) | Primary |
| Provider Name | Sybil Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831584135 PECOS PAC ID: 0143750620 Enrollment ID: I20250213001101 |
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