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Individual

MRS. JOLENE K. JOHN-BECKSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
5221 S 48TH ST STE 7A, LINCOLN, NE 68516-2251
(402) 217-0600
(833) 815-2407
Mailing address
6766 S 88TH ST, LINCOLN, NE 68526-9714
(402) 217-0600
(833) 815-2407

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8557
NE
101YM0800X
Mental Health Counselor
Primary
972
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
345680000
MAGELLAN, FSI
NE
01
456304000
MAGELLAN, FSI
NE
05
47075636926
NE
05
47075636930
NE
05
47075636998
NE
01
96079
BLUE CROSS & BLUE SHIELD
NE
01
99036
BLUE CROSS & BLUE SHIELD
NE
Enumeration date
07/03/2008
Last updated
01/30/2023
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