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Individual

MISS JEAN MARY SOPPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LADC

Contact information

Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
(402) 449-0677
Mailing address
8713 BAYBERRY RD, APT. 2, LAVISTA, NE 68128-2857
(402) 346-8800
(402) 449-0677

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
426
NE
101YM0800X
Mental Health Counselor
2315
NE
1041C0700X
Clinical Social Worker
Primary
1020
NE

Other

Enumeration date
07/04/2006
Last updated
09/11/2025
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