Individual
JILL MARIE SOUCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PLMHP
Contact information
Practice address
2444 O ST, LINCOLN, NE 68510-1125
(402) 475-7666
Mailing address
2444 O ST, LINCOLN, NE 68510-1125
(402) 475-7666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10245
NE
106H00000X
Marriage & Family Therapist
61
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770907180
—
NE
Enumeration date
02/06/2014
Last updated
10/06/2014
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