| Doctor Name: | MR. JONATHAN CARL METSCHKE |
| NPI Number: | 1306997986 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A.-LMHP |
| License Number: | 1769 |
| Business Practice Address: | 510 Bradford St Seward, NE - 684341708 |
| Business Phone Number: | 4026430535 |
| Business Fax Number: | 4026430540 |
| Mailing Address: | 2979 Little Salt Rd, SEWARD |
| State: | NE |
| Postal Code: | 684347803 |
| Phone Number: | 4026462240 |
| Fax Number: | 4026462240 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 12/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1769 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |