Individual
TRACEY A. JAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
5824 S 142ND ST STE B, OMAHA, NE 68137-2872
(402) 981-7187
Mailing address
1303 KERRY LN, LOGAN, IA 51546-6094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1240
NE
101Y00000X
Counselor
Primary
2223
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1240
CPC LICENSE
NE
01
—
2223
LMHP LICENSE
NE
Enumeration date
03/26/2007
Last updated
08/04/2023
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