Individual
JADE KELLY PRUSIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
5217 S 28TH ST, OMAHA, NE 68107-3402
(402) 715-5446
(402) 715-5452
Mailing address
2723 Q ST, OMAHA, NE 68107-3408
(402) 715-5446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13108
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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