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Individual

JACQUELINE LYNNA ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PLADC

Contact information

Practice address
4825 AMES AVE, OMAHA, NE 68104-2383
(402) 301-6600
Mailing address
5919 N 34TH ST, OMAHA, NE 68111-1260
(402) 934-7294
(402) 932-3557

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1340
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
11/11/2016
Last updated
03/05/2025
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