Provider Demographics
NPI:1538987037
Name:DUDA, JESSICA LYNN (BS, PLADC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNN
Last Name:DUDA
Suffix:
Gender:F
Credentials:BS, PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 E BENTON ST
Mailing Address - Street 2:
Mailing Address - City:ONEILL
Mailing Address - State:NE
Mailing Address - Zip Code:68763-1658
Mailing Address - Country:US
Mailing Address - Phone:402-830-0777
Mailing Address - Fax:
Practice Address - Street 1:720 E BENTON ST
Practice Address - Street 2:
Practice Address - City:ONEILL
Practice Address - State:NE
Practice Address - Zip Code:68763-1658
Practice Address - Country:US
Practice Address - Phone:402-830-0777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101Y00000XBehavioral Health & Social Service ProvidersCounselor