Individual
LISA JO PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP, PCMSW
Contact information
Practice address
8715 OAK ST, OMAHA, NE 68124-3051
(402) 333-0898
(402) 333-0988
Mailing address
5115 F ST, OMAHA, NE 68117-2807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11443
NE
101YM0800X
Mental Health Counselor
Primary
13351
NE
104100000X
Social Worker
7238
NE
104100000X
Social Worker
7842
NE
Other
Enumeration date
03/01/2021
Last updated
09/22/2023
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