Individual
JACQUELINE L FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17500 BURKE ST, OMAHA, NE 68118-2244
(402) 401-3000
Mailing address
3707 N 108TH ST, OMAHA, NE 68164-2940
(402) 995-9341
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NE
Other
Enumeration date
06/18/2017
Last updated
09/09/2023
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