Individual
MS. JILL M SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LCSW
Contact information
Practice address
401 WEST 1ST, OGALLALA, NE 69153-2412
(308) 284-3084
(308) 284-6513
Mailing address
110 N BAILEY AVE, P.O. BOX 1209, NORTH PLATTE, NE 69101-1209
(308) 284-6519
(308) 284-6513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
124
NE
101YM0800X
Mental Health Counselor
1526
NE
1041C0700X
Clinical Social Worker
959
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083031
RAILROAD
—
05
—
47083176426
—
NE
01
—
84155
BLUE CROSS
—
Enumeration date
11/21/2006
Last updated
05/05/2021
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