Individual
MICHELE JACK-LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
10050 REGENCY CIR STE 509, OMAHA, NE 68114-3783
(402) 906-2611
Mailing address
18644 WEIR CIR, OMAHA, NE 68135-3510
(402) 509-3126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2946
NE
Other
Enumeration date
12/03/2021
Last updated
09/07/2023
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