Individual
JERRI LEE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
21475 NEBRASKA 10, PLEASANTON, NE 68866
(308) 530-8166
Mailing address
21475 NEBRASKA 10, PLEASANTON, NE 68866
(308) 530-8166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
1411, 943
NE
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600025320
—
NE
01
—
6023
MIDLANDS
NE
01
—
85516
BLUECROSSBLUESHIELD
NE
Enumeration date
05/29/2007
Last updated
05/13/2025
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