Individual
SYBIL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, PLADC
Contact information
Practice address
9374 N ST, OMAHA, NE 68127-2307
(402) 779-9438
Mailing address
13402 S 34TH ST, BELLEVUE, NE 68123-2331
(402) 779-9438
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4946
NE
Other
Enumeration date
04/02/2015
Last updated
05/03/2017
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