Individual
JANESSA MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
11949 Q ST, OMAHA, NE 68137-3503
(531) 301-5051
Mailing address
11949 Q ST, OMAHA, NE 68137-3503
(531) 301-5051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12264
NE
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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