Individual
MISS MARIBETH FRANCES JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
3223 NORTH 169TH STREET, OMAHA, NE 68116
(402) 813-2235
Mailing address
3223 NORTH 169TH STREET, OMAHA, NE 68116
(402) 813-2235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8084
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025257100
—
NE
Enumeration date
08/28/2007
Last updated
08/28/2007
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