Individual
JESSICA JO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, CMSW
Contact information
Practice address
12127 PACIFIC ST, OMAHA, NE 68154-3527
(308) 210-8487
Mailing address
12127 PACIFIC ST, OMAHA, NE 68154-3527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11613
NE
101YM0800X
Mental Health Counselor
Primary
3312
NE
Other
Enumeration date
02/24/2019
Last updated
05/22/2023
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