Individual
MS. JACQUELINE GRAY OKUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC, LIMHP, LCSW
Contact information
Practice address
11125 WOOLWORTH PLZ, OMAHA, NE 68144-1882
(402) 553-8769
Mailing address
11125 WOOLWORTH PLAZA, OMAHA, NE 68144
(402) 553-8769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
541
NE
101YM0800X
Mental Health Counselor
Primary
909
NE
1041C0700X
Clinical Social Worker
3316
NE
1041C0700X
Clinical Social Worker
6352
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025359000
—
NE
01
—
773433000
MAGELLAN
NE
Enumeration date
01/10/2007
Last updated
08/30/2011
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