Individual
JODY RENEE GILFILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAA,LADC
Contact information
Practice address
421 S 9TH ST, SUITE 205, LINCOLN, NE 68508-2261
(402) 601-4289
(402) 475-7541
Mailing address
3119 S 44TH ST, LINCOLN, NE 68506-3331
(402) 488-9615
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
146
NE
Other
Enumeration date
05/17/2007
Last updated
04/15/2016
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