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Individual

JEANICE GAIL CAPORASO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LIMHP

Contact information

Practice address
127 W 2ND ST STE 201, CHADRON, NE 69337-2883
(308) 430-3070
(308) 432-4003
Mailing address
PO BOX 926, CHADRON, NE 69337-0926
(303) 522-1337
(303) 522-1337

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10956
101YM0800X
Mental Health Counselor
Primary
2176
NE

Other

Enumeration date
12/18/2013
Last updated
05/13/2019
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