Individual
JOLENE HERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHP, PC
Contact information
Practice address
504 KIMBERLY WAY, SAINT LIBORY, NE 68872-9783
(308) 370-1307
Mailing address
504 KIMBERLY WAY, SAINT LIBORY, NE 68872-9783
(308) 370-1307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2629
NE
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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