Individual
MRS. JENNIFER W DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
10845 HARNEY ST, OMAHA, NE 68154-2639
(402) 330-3360
Mailing address
10845 HARNEY ST, OMAHA, NE 68154-2639
(402) 330-3360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10776
NE
101YP2500X
Professional Counselor
10776
NE
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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