Individual
JAY DOMINIC PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMHP, NCC
Contact information
Practice address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(402) 498-3358
(402) 498-3375
Mailing address
608 N 50TH ST APT 101, OMAHA, NE 68132-2245
(402) 321-5805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3441
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025745300
—
NE
05
—
10026139700
—
NE
05
—
47037660631
—
NE
Enumeration date
12/21/2006
Last updated
10/02/2017
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