Individual
JONI LYNN REISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHP
Contact information
Practice address
4111 4TH AVE, STE 18, KEARNEY, NE 68845-2884
(308) 381-7487
(308) 381-2712
Mailing address
PO BOX 5858, GRAND ISLAND, NE 68802-5858
(308) 381-7487
(308) 381-2712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9474
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098184
MEDICARE
NE
05
—
47077707526
—
NE
Enumeration date
08/19/2011
Last updated
08/19/2011
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