TONY L JACKSON

OMAHA, NE
NPI1235206491
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  7989)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
-- TONY L JACKSON PLMHP
1111 S 119TH ST
OMAHA, NE 68144-1601
Phone number: 402-690-1880
Mailing Address
-- TONY L JACKSON PLMHP
8260 READ ST
OMAHA, NE 68122-1428
Phone number: 402-690-1880
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