Individual
JILLIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4815 S 107TH AVE, OMAHA, NE 68127-1904
(402) 455-0808
(402) 881-8668
Mailing address
4815 S 107TH AVE, OMAHA, NE 68127-1904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14537
NE
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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