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1902516172
JAKE LINDERHOLM
LINCOLN, NE
NPI
1902516172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-11-29
Last Update Date
2023-08-21
Business Address
JAKE LINDERHOLM
2202 S 11TH ST
LINCOLN, NE 68502-3559
Phone number: 402-475-5161
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Mailing Address
JAKE LINDERHOLM
2633 P ST
LINCOLN, NE 68503-3528
Phone number: 402-475-8717
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