Individual
ALIXANDRIA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 LAKE ST, LINCOLN, NE 68502-3734
(402) 481-5268
Mailing address
2300 S 16TH ST, LINCOLN, NE 68502-3704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14647
NE
1041C0700X
Clinical Social Worker
8289
NE
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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