Individual
JENNIFER C DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5701 THOMPSON CREEK BLVD, LINCOLN, NE 68516-5662
(402) 325-8555
(402) 435-5010
Mailing address
5701 THOMPSON CREEK BLVD, LINCOLN, NE 68516-5662
(402) 325-8555
(402) 435-5010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9012
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
P854
NE
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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