Individual
JAYNA BACZWASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11605 W DODGE RD STE 4, OMAHA, NE 68154-2566
(402) 881-6050
Mailing address
16615 YORT AVE, OMAHA, NE 68116-2945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1115
NE
Other
Enumeration date
04/15/2010
Last updated
11/04/2019
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