Individual
DR. JESSICA ANN STALLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAT, ATR-BC, LMHP, L
Contact information
Practice address
621 N 51ST ST, OMAHA, NE 68132
(402) 799-1199
(402) 939-8989
Mailing address
621 N 51ST ST, OMAHA, NE 68132
(402) 799-1199
(402) 939-8989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5155
NE
171M00000X
Case Manager/Care Coordinator
5155
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200867540A
—
KS
Enumeration date
03/15/2012
Last updated
08/07/2020
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