Individual
MS. JESSICA ANN ODVODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHP
Contact information
Practice address
2101 S 42ND ST, OMAHA, NE 68105-2947
(402) 416-3412
Mailing address
2101 S 42ND ST, OMAHA, NE 68105-2947
(402) 416-3412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2567
NE
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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