Individual
JENIFFER JANET ENRIQUEZ HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11949 Q ST, OMAHA, NE 68137-3503
(531) 999-1046
Mailing address
11949 Q ST, OMAHA, NE 68137-3503
(402) 718-6274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12599
NE
101YM0800X
Mental Health Counselor
7621
NE
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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