Individual
JENNALEE MARIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
6150 HIGHWAY 136 SUITE 1, HEBRON, NE 68370
(402) 853-3929
Mailing address
6150 HIGHWAY 136 SUITE 1, HEBRON, NE 68370-7042
(402) 853-3929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10966
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346794864
—
NE
Enumeration date
08/12/2016
Last updated
10/19/2018
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