Individual
MRS. TERRY JEAN CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW,LMHC,LMHP
Contact information
Practice address
625 E 39TH ST, SOUTH SIOUX CITY, NE 68776-3445
(712) 389-6412
(402) 494-2735
Mailing address
625 E 39TH ST, SOUTH SIOUX CITY, NE 68776-3445
(712) 389-6412
(402) 494-2735
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001198
IA
101YM0800X
Mental Health Counselor
3426
NE
101YP2500X
Professional Counselor
1729
NE
104100000X
Social Worker
Primary
03175
IA
Other
Enumeration date
02/16/2007
Last updated
09/15/2011
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