Individual
JASON MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHP
Contact information
Practice address
6949 S 110TH ST, LA VISTA, NE 68128-5721
(531) 215-3841
Mailing address
604 JEWELL RD, BELLEVUE, NE 68005-2645
(402) 253-4210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5769
NE
Other
Enumeration date
07/25/2023
Last updated
10/11/2023
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