Individual
MRS. JESSICA LEE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, MSW
Contact information
Practice address
7701 PACIFIC ST STE 100, OMAHA, NE 68114-5480
(402) 403-9469
Mailing address
7701 PACIFIC ST STE 100, OMAHA, NE 68114-5480
(402) 578-9915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2516
NE
1041C0700X
Clinical Social Worker
1964
NE
Other
Enumeration date
07/27/2019
Last updated
06/15/2026
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