# JERAD LEE OSBORNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730191644
- **Gender:** Man
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 1928 | NE | — |
| 1041C0700X | Clinical Social Worker | 407 | NE | Yes |
| 1041C0700X | Clinical Social Worker | SW 7539 | FL | — |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 03/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 766271800 | — | FL |