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Payton Jibri Hogan, MS,LIMHP
Mental Health Counselor in Omaha, Nebraska
NPI 1376177741

Payton Jibri Hogan is a Mental Health Counselor based in Omaha, NE and is specialized in Mental Health. Payton Jibri Hogan practices in Omaha, NE and has the professional credentials of MS,LIMHP. The NPI Number for Payton Jibri Hogan is 1376177741 and holds a License No. 2953 (Nebraska).

The current practice location address for Payton Jibri Hogan is 5858 Wenninghoff Rd Ste 2, Omaha, NE and can be reached out via phone at 402-512-3475 and via fax at 402-206-2759.

Location: 5858 Wenninghoff Rd Ste 2, Omaha, NE, 68134-1911
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Provider Profile Details
NPI Number
1376177741
Provider Name
Payton Jibri Hogan
Credential
MS,LIMHP
Provider Entity Type
Individual
Gender
Male
Address
5858 Wenninghoff Rd Ste 2, Omaha, NE, 68134-1911
Phone Number
402-512-3475
Fax Number
402-206-2759
Provider Enumeration Date
02/25/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10027143800 05 NE
institution
Provider Business Practice Location Address Details
Address
5858 Wenninghoff Rd Ste 2
City
State
Zip
68134-1911
Phone Number
402-512-3475
Fax Number
402-206-2759
person
Provider Business Mailing Address Details
Address
5858 Wenninghoff Rd Ste 2
City
State
Zip
68134-1911
Phone Number
402-512-3475
Fax Number
402-206-2759
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
P-1765 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2953 (Nebraska)
Definition
Definition to come...
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