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Individual

MRS. AMBER DAWN JURGENSMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, LADC

Contact information

Practice address
11713 M CIR, OMAHA, NE 68137-2218
(402) 933-4411
Mailing address
16009 CURTIS AVE., OMAHA, NE 68116
(402) 340-4909

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
946
NE
101YM0800X
Mental Health Counselor
1317
NE
1041C0700X
Clinical Social Worker
Primary
1561
NE

Other

Enumeration date
08/08/2011
Last updated
04/21/2015
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