Individual
MRS. JESSICA LEE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, MSW
Contact information
Practice address
5321 S 138TH ST, OMAHA, NE 68137-2913
(402) 895-4000
(402) 895-1607
Mailing address
8217 MANDERSON CIR, OMAHA, NE 68134-4268
(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
01/26/2021
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