Individual
MS. JACQUELYN TOMKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
908 N HOWARD AVE STE 107, GRAND ISLAND, NE 68803-3529
(402) 302-2829
Mailing address
614 S 19TH ST, CLARINDA, IA 51632-2502
(402) 302-2829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2307
NE
101YP2500X
Professional Counselor
2307
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037660433
—
NE
Enumeration date
08/16/2006
Last updated
12/27/2019
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