Individual
JENNA ELIZABETH WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
9223 BEDFORD AVE, OMAHA, NE 68134-4725
(531) 213-7396
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
Primary
5069
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257042
—
NE
05
—
100260415
—
NE
05
—
100260416
—
NE
Enumeration date
04/10/2013
Last updated
02/22/2023
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