Individual
MR. JONATHAN FREDERICK WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 VALLEY RD STE 350, LINCOLN, NE 68510-4844
(402) 474-0011
(402) 474-0012
Mailing address
815 K ST, LINCOLN, NE 68508-2960
(402) 474-0011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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