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Individual

JAMIE SLONECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIMHP CPC

Contact information

Practice address
1201 N ERIE ST, LEXINGTON, NE 68850
(308) 324-8322
Mailing address
1105 N ERIE ST, LEXINGTON, NE 68850-1504
(308) 746-4293

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1384
NE
101YM0800X
Mental Health Counselor
2087
NE
101YM0800X
Mental Health Counselor
4287
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1384
LICENSED INDEPENDENT MENTAL HEALTH PRACTITIONER
NE
01
2087
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES- LICENSURE UNIT
NE
01
4287
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES- LICENSURE UNIT
NE
Enumeration date
12/13/2010
Last updated
07/10/2018
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