Individual
JAIDEN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10846 JOHN GALT BLVD, OMAHA, NE 68137-2306
(402) 325-1290
Mailing address
10846 JOHN GALT BLVD, OMAHA, NE 68137-2306
(402) 325-1290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1902
NE
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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