| Jessica Marie | |
|
13304 W Center Rd Ste 110 Omaha NE 68144-3453 | |
| (402) 913-0068 | |
| Not Available |
| Full Name | Jessica Marie |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13304 W Center Rd Ste 110, Omaha, Nebraska |
| Authorized Official Name and Position | Jessica Martinez (MSW) |
| Authorized Official Contact | 4029130068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Marie 13304 W Center Rd Ste 110 Omaha NE 68144-3453 Ph: () - | Jessica Marie 13304 W Center Rd Ste 110 Omaha NE 68144-3453 Ph: (402) 913-0068 |
| NPI Number | 1528656758 |
|---|---|
| Provider Enumeration Date | 01/04/2021 |
| Last Update Date | 07/16/2022 |
| Certification Date | 07/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528656758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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