Individual
JAYNEE BOHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHL
Contact information
Practice address
104 S COSTELLO ST, WALTHILL, NE 68067
(402) 475-0380
Mailing address
1520 ATOKAD DR TRLR 261, SOUTH SIOUX CITY, NE 68776-5439
(253) 259-0866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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