Individual
JENNA LYNN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
621 N 51ST ST, OMAHA, NE 68132-2229
(402) 669-6341
Mailing address
12657 ANNE ST, OMAHA, NE 68137-2050
(402) 669-6341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1286
NE
101YM0800X
Mental Health Counselor
8931
NE
1041C0700X
Clinical Social Worker
6680
NE
Other
Enumeration date
08/10/2009
Last updated
09/19/2023
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