Individual
MRS. PAMELA RAE JESPERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
6901 N 72ND ST, 11905 ARBOR STREET OMAHA NE 68144, OMAHA, NE 68122-1709
(402) 990-0639
Mailing address
6901 N 72ND ST, 31479 170TH STREET HONEY CREEK, IA 51542, OMAHA, NE 68122-1709
(402) 990-0639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
429
NE
101YP2500X
Professional Counselor
560
NE
Other
Enumeration date
09/02/2006
Last updated
09/11/2025
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