Individual
MRS. JACQUELINE ANNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S, LMHP, LPC,
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2756
NE
101YP2500X
Professional Counselor
1465
NE
103TS0200X
School Psychologist
Primary
31858
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025003500
—
NE
Enumeration date
01/04/2007
Last updated
09/11/2025
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