Individual
JORDAN JERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
115 W 5TH ST, ALLIANCE, NE 69301-3368
(308) 760-5774
Mailing address
115 W 5TH ST, ALLIANCE, NE 69301-3368
(308) 760-5774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2623
NE
101YM0800X
Mental Health Counselor
5248
NE
Other
Enumeration date
10/03/2016
Last updated
08/24/2021
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