# JCB THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144767245
- **Authorized official:** JAYNA BACZWASKI (OWNER)
- **Authorized official phone:** (402) 881-6050

## Contact information

- **Practice address:** 11605 W DODGE RD STE 4, OMAHA, NE 68154-2566
- **Practice address phone:** (402) 881-6050
- **Practice address fax:** (531) 999-2356
- **Mailing address:** 11605 W DODGE RD STE 4, OMAHA, NE 68154-2566
- **Mailing address phone:** (402) 881-6050
- **Mailing address fax:** (531) 999-2356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 1115 | NE | Yes |

## Other

- **Enumeration date:** 01/26/2017
- **Last updated:** 11/20/2019