| NPI | 1982902441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARTHA JEWELL Counselor/Therapist 402-672-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 3065) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |