Individual
JORDAN LEE BIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
230 E 22ND ST STE 4, FREMONT, NE 68025-2661
(402) 727-4288
Mailing address
3014 PADDOCK RD APT 17B, OMAHA, NE 68124-2941
(319) 383-4595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12323
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12323
STATE LICENSE
NE
Enumeration date
10/29/2020
Last updated
10/29/2020
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