Individual
MS. JACKUELYN M PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LMHP LCSW
Contact information
Practice address
2444 O STREET, LINCOLN, NE 68510
(402) 475-7666
(402) 476-9623
Mailing address
2444 O STREET, LINCOLN, NE 68510
(402) 475-7666
(402) 476-9623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1036
NE
101YM0800X
Mental Health Counselor
2392
NE
101YM0800X
Mental Health Counselor
Primary
64
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238006
MIDLANDS CHOICE
NE
01
—
82240
BCBS
NE
Enumeration date
02/07/2007
Last updated
09/14/2023
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