Individual
ANDREW JERUSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10100 CEDAR ISLAND RD, BELLEVUE, NE 68123-5048
(720) 236-9624
Mailing address
6618 MICHAEL CIR, PAPILLION, NE 68133-3239
(720) 236-9624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3794
NE
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
4150
CO
Other
Enumeration date
01/15/2008
Last updated
07/01/2025
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