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Provider Information for 1962768788


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TABITHA JAMESON LMHP


Sex: Female

NPI: 1962768788
Last Updated: 2012-04-05
Certification Date:

Details

NameValue
NPI1962768788
Enumeration Date2012-04-05
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1941 S 42ND ST
STE 514
OMAHA, NE 68105-2939
United States

Phone: 402-614-8444 | Fax:402-614-8443
 
Primary Practice Address 1941 S 42ND ST
STE 514
OMAHA, NE 68105-2939
United States

Phone: 402-614-8444 | Fax:402-614-8443
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthNE3898