Individual
MS. REGINA L MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW LIMHP LMSW
Contact information
Practice address
13961 POLK ST, OMAHA, NE 68137-4049
(402) 926-4444
(402) 393-8230
Mailing address
13961 POLK ST, OMAHA, NE 68137-4049
(402) 926-4444
(402) 393-8230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2757
NE
101YM0800X
Mental Health Counselor
4276
NE
1041C0700X
Clinical Social Worker
101496
IA
1041C0700X
Clinical Social Worker
Primary
1515
NE
Other
Enumeration date
05/19/2009
Last updated
09/14/2021
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