Individual
JACOB ISAAC SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
5847 N 90TH ST, OMAHA, NE 68134-1856
(402) 571-7148
(402) 571-7289
Mailing address
5847 N 90TH ST, OMAHA, NE 68134-1856
(402) 571-7148
(402) 571-7289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11099
NE
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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