Individual
JANNETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CST
Contact information
Practice address
1004 FARNAM ST STE 204, OMAHA, NE 68102-1885
(402) 341-2230
Mailing address
1004 FARNAM ST STE 204, OMAHA, NE 68102-1885
(402) 341-2230
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
291
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84398
BCBS PROVIDER NUMBER
NE
Enumeration date
04/24/2007
Last updated
07/08/2007
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