Individual
MR. JONATHAN CARL METSCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.-LMHP
Contact information
Practice address
510 BRADFORD ST, SEWARD, NE 68434-1708
(402) 643-0535
(402) 643-0540
Mailing address
2979 LITTLE SALT RD, SEWARD, NE 68434-7803
(402) 646-2240
(402) 646-2240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3522
NE
101YP2500X
Professional Counselor
1769
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47084125026
—
NE
01
—
82199
BLUE CROSS AND BLUE SHIELD
—
Enumeration date
01/12/2007
Last updated
12/16/2010
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