Individual
JACQUELINE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PLMHP
Contact information
Practice address
1941 S 42ND ST, STE 430, OMAHA, NE 68105-2987
(402) 342-6197
(402) 342-6199
Mailing address
13906 S 29TH CIR, BELLEVUE, NE 68123-2765
(402) 505-6289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7765
NE
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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