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Individual

JASON ANDREW LAVENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. ED., LIMHP, PLADC

Contact information

Practice address
2121 W 39TH ST APT 2, KEARNEY, NE 68845-8299
(308) 991-5014
Mailing address
2121 W 39TH ST APT 2, KEARNEY, NE 68845-8299
(308) 991-5014

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1751
NE
101YM0800X
Mental Health Counselor
Primary
3065
NE
101YP2500X
Professional Counselor
2757
NE

Other

Enumeration date
09/04/2023
Last updated
09/04/2023
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