Doctor Name: | MISS JORDAN LOSCHEN |
NPI Number: | 1063813608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLMHP |
License Number: | 10323 |
Business Practice Address: | 214 W 38th St Kearney, NE - 688452864 |
Business Phone Number: | 3082240596 |
Business Fax Number: | 3082375225 |
Mailing Address: | 214 W 38th St, KEARNEY |
State: | NE |
Postal Code: | 688452864 |
Phone Number: | 3082240596 |
Fax Number: | 3082375225 |
NPI Enumeration Date: | 09/15/2014 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 10323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |