Individual
JONNAE LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LCSW, LADC
Contact information
Practice address
4911 GRAND AVE, OMAHA, NE 68104-2380
(562) 746-5150
(402) 551-8797
Mailing address
3300 N 60TH ST, OMAHA, NE 68104-3402
(402) 554-0520
(402) 551-8797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10719
ND
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025225100
—
NE
05
—
47037661200
—
NE
Enumeration date
01/28/2016
Last updated
01/24/2022
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