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Organization

A DESIRED LIFE THERAPY AND COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE LYNN KAIPUST CMSW, LMHP, LIMHP (LICSW)
(402) 990-7362
Entity
Organization

Contact information

Practice address
8031 W CENTER RD, SUITE 210, OMAHA, NE 68124-3158
(402) 990-7362
(402) 763-8915
Mailing address
8031 W CENTER RD, SUITE 210, OMAHA, NE 68124-3158
(402) 990-7362
(402) 763-8915

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3573
NE
1041C0700X
Clinical Social Worker
Primary
661
NE

Other

Enumeration date
07/03/2012
Last updated
07/03/2012
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