Individual
MS. JAYNE LYNN GUNDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
17201 WRIGHT ST, OMAHA, NE 68130-2042
(402) 691-6977
(402) 445-8017
Mailing address
16098 WEBER ST, BENNINGTON, NE 68007-7480
(402) 216-9506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3548
NE
101YM0800X
Mental Health Counselor
PLMHP 7629
NE
Other
Enumeration date
08/16/2005
Last updated
07/19/2023
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