| Doctor Name: | MR. JEFFREY D OSMONSON |
| NPI Number: | 1013163864 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 5189-C |
| Business Practice Address: | 174 Idaho St Elko, NV - 898013066 |
| Business Phone Number: | 7757779548 |
| Business Fax Number: | 7757535457 |
| Mailing Address: | Po Box 1296, ELKO |
| State: | NV |
| Postal Code: | 898031296 |
| Phone Number: | 7757779548 |
| Fax Number: | 7757535457 |
| NPI Enumeration Date: | 08/13/2008 |
| NPI Last Update Date: | 09/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 5189-C |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |