JORDAN T ETHERINGTON

OMAHA, NE
NPI1982184362
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  14819)
Enumeration Date2018-08-15
Last Update Date2026-04-13
Business Address
JORDAN T ETHERINGTON
6902 PINE ST
OMAHA, NE 68106-2855
Phone number: 402-559-6418
Mailing Address
JORDAN T ETHERINGTON
985450 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-5450
Phone number: 402-559-8943
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