Timothy L Jefferson
Counselor, Mental Health in Omaha, NE. Individual provider (NPI-1).
NPI number1649656265
StatusActive
Last updated in NPPESAug 5, 2015
Details
- NPI
- 1649656265
- Entity type
- Individual (NPI-1)
- Name
- Timothy L Jefferson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2015
- Last updated
- Aug 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
6502 Sorensen PkwyOmaha, NE 68152-2138
Phone 402-502-9788
Mailing address
6132 N 78th AveOmaha, NE 68134-2100
Phone 402-991-8693
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