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1063739746
STEVEN WAYNE JACKSON
OMAHA, NE
NPI
1063739746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WY 1194)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-04-21
Last Update Date
2018-06-12
Business Address
STEVEN WAYNE JACKSON LPC
1941 S 42ND ST STE 514
OMAHA, NE 68105
Phone number: 402-614-8444
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Mailing Address
STEVEN WAYNE JACKSON LPC
401 S 23RD ST
WORLAND, WY 82401-3725
Phone number: 307-347-6165
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