Individual
MS. BROOKE ELIZABETH BARTAK-JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
10020 NICHOLAS ST STE 106, OMAHA, NE 68114-2188
(402) 957-2759
Mailing address
10020 NICHOLAS ST STE 106, OMAHA, NE 68114-2188
(402) 957-2759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9617
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470398819
—
NE
Enumeration date
03/16/2012
Last updated
03/15/2021
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