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Individual

MR. JOHNATHAN MICHAEL ROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3201 PIONEERS BLVD STE 218, LINCOLN, NE 68502-5963
(402) 413-7171
Mailing address
3201 PIONEERS BLVD STE 218, LINCOLN, NE 68502-5963
(402) 413-5525

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5383
NE
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
04/30/2013
Last updated
06/23/2020
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