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Individual

MATT J JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PLHMP

Contact information

Practice address
20324 VETERANS DR STE 104, ELKHORN, NE 68022-3552
(402) 933-5700
Mailing address
18014 DEWEY CIR, ELKHORN, NE 68022-5670
(402) 708-4967

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13420
NE

Other

Enumeration date
07/20/2023
Last updated
07/20/2023
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