Individual
JUDE T CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIMHP
Contact information
Practice address
11605 MIRACLE HILLS DR STE 300, OMAHA, NE 68154-4467
(402) 238-4131
(402) 281-1862
Mailing address
3378 S 112TH ST, OMAHA, NE 68144-4630
(402) 981-1508
(402) 591-5075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3181
NE
1041C0700X
Clinical Social Worker
Primary
3707
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026889500
—
NE
Enumeration date
05/19/2011
Last updated
11/26/2024
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