JAIDEN LEWIS

OMAHA, NE
NPI1578236584
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  P-1902)
Enumeration Date2021-07-26
Last Update Date2021-07-26
Business Address
JAIDEN LEWIS
10846 JOHN GALT BLVD
OMAHA, NE 68137-2306
Phone number: 402-325-1290
Mailing Address
JAIDEN LEWIS
10846 JOHN GALT BLVD
OMAHA, NE 68137-2306
Phone number: 402-325-1290