Organization
HEARTLAND COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JO-JIVIDEN JACKSON (EXECUTIVE DIRECTOR)
(402) 494-3337
Entity
Organization
Contact information
Practice address
1201 ARBOR DRIVE, SOUTH SIOUX CITY, NE 68776
(402) 494-3337
Mailing address
PO BOX 355, SOUTH SIOUX CITY, NE 68776-0355
(402) 494-3337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SATC105
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
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NE
Enumeration date
10/07/2010
Last updated
03/23/2023
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