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Individual

MRS. JOLENE KOLLATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, LMHP

Contact information

Practice address
8200 DODGE ST, CHILDREN'S FAMILY SUPPORT CENTER, OMAHA, NE 68114-4113
(402) 955-3900
(402) 955-3920
Mailing address
8200 DODGE ST, CHILDREN'S FAMILY SUPPORT CENTER, OMAHA, NE 68114-4113
(402) 955-5400

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
148 (CMSW)
NE
1041C0700X
Clinical Social Worker
896 (LMHP)
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3009
MIDLANDS CHOICE
01
6235851
UNITED BEHAVIORAL HEALTH
01
84818
BCBS
NE
Enumeration date
01/22/2007
Last updated
07/08/2007
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