Provider Demographics
NPI:1083747935
Name:ADDINK, JAMIE LEE (BACHELOR OF SCIENCE)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:LEE
Last Name:ADDINK
Suffix:
Gender:F
Credentials:BACHELOR OF SCIENCE
Other - Prefix:MRS
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:JENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:600 SOUTH 13TH STREET
Mailing Address - Street 2:BEHAVIORAL HEALTH SPECIALISTS INC
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701
Mailing Address - Country:US
Mailing Address - Phone:402-370-3140
Mailing Address - Fax:402-370-3373
Practice Address - Street 1:600 SOUTH 13TH STREET
Practice Address - Street 2:BEHAVIORAL HEALTH SPECIALISTS
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701
Practice Address - Country:US
Practice Address - Phone:402-370-3140
Practice Address - Fax:402-370-3372
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator