Individual
JILLIAN KAY BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10845 HARNEY ST, OMAHA, NE 68154-2639
(402) 327-1197
Mailing address
1648 S 152ND ST, OMAHA, NE 68144-5123
(402) 650-4050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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