Individual
MS. JESSICA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, NCC, LPC
Contact information
Practice address
7602 PACIFIC ST STE 102, OMAHA, NE 68114-5405
(402) 680-8280
(531) 201-3126
Mailing address
7602 PACIFIC ST STE 102, OMAHA, NE 68114-5405
(402) 680-8280
(531) 201-3126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3763
NE
Other
Enumeration date
02/20/2019
Last updated
09/08/2025
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