Individual
MRS. BRENDA BERENIS JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
11949 Q ST, OMAHA, NE 68137-3503
(024) 595-1326
(402) 932-2431
Mailing address
11949 Q ST, OMAHA, NE 68137-3503
(402) 595-1059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11242
NE
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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