Doctor Name: | MICHAEL JARECKI |
NPI Number: | 1144492315 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHP |
License Number: | 1460 |
Business Practice Address: | 234 Saint Joseph Dr Steubenville, OH - 439527988 |
Business Phone Number: | 7402666461 |
Business Fax Number: | |
Mailing Address: | 5314 Read St, OMAHA |
State: | NE |
Postal Code: | 681522445 |
Phone Number: | 4025731063 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2008 |
NPI Last Update Date: | 03/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1460 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |