What is Jae Job's NPI number?

The NPI number assigned to this healthcare provider is 1679108237, enumerated as a individual on March 4, 2020.

Where is the provider located?

The provider is located at 120 WEDGEWOOD DR LINCOLN, NE 68510 and the phone number is (402) 434-2814.

What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

JAE JOB CPSS - NPI 1679108237 - Peer Specialist in Lincoln, NE

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About Jae Job Cpss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE JOB CPSS (NPI 1679108237) is an individual peer specialist in Lincoln, Nebraska, licensed in Nebraska (CPSS-030) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1679108237

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameJAE JOBCredential: CPSS

Location Address120 WEDGEWOOD DRLincoln, NE 68510-2431

Mailing Address120 Wedgewood DrLincoln, NE 68510-2431 · (402) 434-2814

Phone(402) 434-2814

Sole ProprietorNo

Enumeration DateMarch 4, 2020

NPPES CertifiedMarch 4, 2020

✔ NPI 1679108237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in NE · CPSS-030

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

120 WEDGEWOOD DR, Lincoln, NE 68510

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