Individual
MRS. CATRICE MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP,LPC
Contact information
Practice address
6663 SORENSEN PKWY, OMAHA, NE 68152-2139
(402) 502-9788
(402) 453-6768
Mailing address
3931 N 40TH AVE, OMAHA, NE 68111-2634
(402) 502-2718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2849
NE
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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