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1578243044
MATT J JACKSON
ELKHORN, NE
NPI
1578243044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NE 13420)
Enumeration Date
2023-07-20
Last Update Date
2023-07-20
Business Address
MATT J JACKSON PLHMP
20324 VETERANS DR STE 104
ELKHORN, NE 68022-3552
Phone number: 402-933-5700
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Mailing Address
MATT J JACKSON PLHMP
18014 DEWEY CIR
ELKHORN, NE 68022-5670
Phone number: 402-708-4967
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