Individual
JACQUELYN RENAE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LADC
Contact information
Practice address
1941 S 42ND ST STE 328, OMAHA, NE 68105-2943
(402) 614-8444
Mailing address
1941 S 42ND ST STE 328, OMAHA, NE 68105-2943
(402) 614-8444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1137
NE
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
1086
NE
1041C0700X
Clinical Social Worker
1336
NE
Other
Enumeration date
09/11/2007
Last updated
01/24/2024
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