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Individual
JENNIFER SUKUP
Active
Individual
JENNIFER SUKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
926
NE
101YM0800X
Mental Health Counselor
2734
NE
101YM0800X
Mental Health Counselor
Primary
797
NE
Other
Enumeration date
02/08/2007
Last updated
02/22/2023
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