Individual
JODI GENTLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 ND DEWEY ST, OMAHA, NE 68198-1023
(402) 552-6007
(402) 552-6225
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1552
NE
1041C0700X
Clinical Social Worker
896
NE
Other
Enumeration date
07/18/2012
Last updated
06/08/2016
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