Individual
JERAD LEE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
13548 DISCOVERY DR, SUITE B, OMAHA, NE 68137-3003
(402) 309-3941
Mailing address
13548 DISCOVERY DR, SUITE B, OMAHA, NE 68137-3003
(402) 309-3941
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1928
NE
1041C0700X
Clinical Social Worker
Primary
407
NE
1041C0700X
Clinical Social Worker
SW 7539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766271800
—
FL
Enumeration date
08/12/2006
Last updated
03/16/2011
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