Individual
JESUS VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMHP
Contact information
Practice address
7101 NEWPORT AVE, OMAHA, NE 68152-2164
(402) 572-2916
(402) 572-3049
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1338
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
2511
NE
Other
Enumeration date
06/03/2014
Last updated
12/06/2023
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