Individual
JARAD ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIMHP
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 301-5878
Mailing address
8824 FRANKLIN ST, OMAHA, NE 68114-1363
(402) 301-5878
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2944
NE
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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