Individual
MRS. RAQUEL MORENO IZAGUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LIMHP, PLADC
Contact information
Practice address
4535 NORMAL BLVD STE 212, LINCOLN, NE 68506-2891
(402) 413-9758
Mailing address
4535 NORMAL BLVD STE 235, LINCOLN, NE 68506-2891
(402) 440-3939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12463
NE
101YM0800X
Mental Health Counselor
Primary
4144
NE
1041C0700X
Clinical Social Worker
2532
NE
1041C0700X
Clinical Social Worker
7567
NE
372600000X
Adult Companion
—
—
Other
Enumeration date
02/24/2021
Last updated
08/01/2025
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