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NPI 1932224193

NPI 1932224193 : JOLANE JEANNE LUETCHENS MS LMHP LMFT : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1932224193
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    Entity Type          |    Individual 
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    Provider Name        |    JOLANE JEANNE LUETCHENS MS LMHP LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/20/2007
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    Last Update Date     |    05/06/2010
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Provider Practice Location Address
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    Address Line         |    4535 NORMAL BLVD STE 222
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68506
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    Country              |    US
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    Telephone            |    402-489-9933
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    Fax                  |    402-489-9936
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Provider Business Mailing Address
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    Address Line         |    718 EASTRIDGE DR 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68510
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    Country              |    US
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    Telephone            |    402-489-9933
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    LMHP992
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LMFT 08
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    License Number State |    NE
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