Individual
JERRI ROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13057 W CENTER RD, SUITE 25, OMAHA, NE 68144-3748
(402) 359-2947
Mailing address
4806 N 193RD AVENUE CIR, ELKHORN, NE 68022-5227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
96
NE
101YM0800X
Mental Health Counselor
Primary
9059
NE
Other
Enumeration date
01/08/2010
Last updated
03/29/2010
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