Individual
JAMIE MOLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMHP CPC
Contact information
Practice address
7130 S 29TH ST STE G, LINCOLN, NE 68516-5841
(402) 204-0341
Mailing address
7130 S 29TH ST STE G, LINCOLN, NE 68516-5841
(402) 204-0341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8589
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96065
BCBS
NE
Enumeration date
05/12/2008
Last updated
08/17/2023
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