Individual
SHARON D JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, CPC
Contact information
Practice address
8031 WEST CENTER RD STE 207, OMAHA, NE 68124
(402) 415-4150
Mailing address
8031 WEST CENTER RD #207, OMAHA, NE 68124
(402) 415-4150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHP # 366
NE
101YP2500X
Professional Counselor
CPC # 64
NE
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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