Individual
JANA FRESE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
319 S 17TH ST, OMAHA, NE 68102-1911
(402) 558-3856
(402) 558-3039
Mailing address
1213 PIERCE ST, OMAHA, NE 68108-3201
(402) 558-3856
(402) 558-3039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7519
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025114800
—
NE
Enumeration date
06/13/2006
Last updated
07/08/2007
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