Individual
JEREMY T SIMONSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
4201 S 14TH ST, LINCOLN, NE 68502-5336
(402) 479-3469
Mailing address
1220 ROSE ST, LINCOLN, NE 68502-2375
(402) 310-2202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1831
NE
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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