Individual
JODY LYNN ANGEL-TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
220 W 15TH ST, KEARNEY, NE 68845-6763
(308) 236-0500
(308) 237-5225
Mailing address
220 W 15TH ST, KEARNEY, NE 68845-6763
(308) 236-0500
(308) 237-5225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1405
NE
101YM0800X
Mental Health Counselor
9418
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026643700
—
NE
Enumeration date
06/16/2011
Last updated
10/26/2023
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