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Individual

JENNIFER ANN AESOPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LIMHP

Contact information

Practice address
4611 S 96TH ST STE 258, OMAHA, NE 68127-1244
(402) 214-4344
(402) 275-6958
Mailing address
4611 S 96TH ST STE 258, OMAHA, NE 68127-1244
(402) 214-4344
(402) 275-6958

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1395
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1395
LIMHP
NE
Enumeration date
01/22/2013
Last updated
01/16/2024
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