Individual
JOLENE LICHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
219 S 4TH ST, ONEILL, NE 68763-1815
(402) 336-4413
Mailing address
219 S 4TH ST, ONEILL, NE 68763-1815
(402) 336-4413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1405
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84558
BCBS
NE
Enumeration date
11/02/2006
Last updated
07/08/2007
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