Provider Demographics
NPI:1174661730
Name:DUGAN, JANE G (LMHP,NCC,CT)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:G
Last Name:DUGAN
Suffix:
Gender:F
Credentials:LMHP,NCC,CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25710 W DODGE RD
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:NE
Mailing Address - Zip Code:68069-4652
Mailing Address - Country:US
Mailing Address - Phone:402-720-6435
Mailing Address - Fax:
Practice Address - Street 1:212 E. 8TH
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025
Practice Address - Country:US
Practice Address - Phone:402-720-6435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7848101YM0800X
NE3329101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health