Individual
RONELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
230 E 22ND ST STE 4, FREMONT, NE 68025-2661
(402) 727-1592
(402) 727-4288
Mailing address
230 E 22ND ST STE 4, FREMONT, NE 68025-2661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11753
NE
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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