Individual
JAIME WEATHERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, LCSW
Contact information
Practice address
120 S 24TH ST STE 100, OMAHA, NE 68102-1205
(402) 342-7007
Mailing address
120 SOUTH 24TH STREET, SUITE 100, OMAHA, NE 68102
(402) 342-7007
(402) 661-7117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4959
NE
1041C0700X
Clinical Social Worker
1698
NE
Other
Enumeration date
01/31/2014
Last updated
05/30/2017
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