MYLA ROSE JACKSON

NORFOLK, NE
NPI1700553914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  12734)
Enumeration Date2021-08-25
Last Update Date2021-08-25
Business Address
MYLA ROSE JACKSON PLMHP
200 N 34TH ST
NORFOLK, NE 68701-3197
Phone number: 402-371-3044
Mailing Address
MYLA ROSE JACKSON PLMHP
200 N 34TH ST
NORFOLK, NE 68701-3197
Phone number: 402-371-3044