Jordan T Etherington
Counselor, Mental Health in Omaha, NE. Individual provider (NPI-1).
NPI number1982184362
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1982184362
- Entity type
- Individual (NPI-1)
- Name
- Jordan T Etherington
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2018
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 14819 | NE | Yes |
Practice location
6902 Pine StOmaha, NE 68106-2855
Phone 402-559-6418 · Fax 402-559-5737
Mailing address
985450 Nebraska Medical CtrOmaha, NE 68198-5450
Phone 402-559-8943 · Fax 402-559-5753
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