Individual
JENNIFER L ANTHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 SHERMAN ST, SAINT PAUL, NE 68873-1546
(308) 754-4421
(308) 754-2303
Mailing address
PO BOX 406, SAINT PAUL, NE 68873-0406
(308) 754-4421
(308) 754-2303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9760
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13231
PROVISIONAL MENTAL HEALTH PRACTITIONER
NE
Enumeration date
09/20/2012
Last updated
03/28/2025
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