Individual
JENNIFER VINEYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
710 BURLINGTON ST, HOLDREGE, NE 68949-2177
(308) 995-6691
(308) 995-6830
Mailing address
PO BOX 683, HOLDREGE, NE 68949-0683
(308) 995-6691
(308) 995-6830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8047
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025226400
—
NE
Enumeration date
11/29/2006
Last updated
07/08/2007
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