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Individual

MARK JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D. , LMHP

Contact information

Practice address
1941 S 42ND ST, STE 430, OMAHA, NE 68105-2987
(402) 342-6197
(402) 342-6199
Mailing address
12814 DECATUR ST, OMAHA, NE 68154-3615
(402) 669-4637

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1420
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85192
BLUE CROSS BLUE SHIELD
NE
Enumeration date
02/07/2007
Last updated
07/08/2007
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