Provider Demographics
NPI:1194808113
Name:COLE-MOSSMAN, JENNIE LEE (LMHP)
Entity type:Individual
Prefix:MRS
First Name:JENNIE
Middle Name:LEE
Last Name:COLE-MOSSMAN
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 SOUTH 13TH STREET
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68588-0227
Mailing Address - Country:US
Mailing Address - Phone:402-472-9807
Mailing Address - Fax:402-472-8142
Practice Address - Street 1:206 SOUTH 13TH STREET
Practice Address - Street 2:SUITE 1000
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68588-0227
Practice Address - Country:US
Practice Address - Phone:402-472-9807
Practice Address - Fax:402-472-8142
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2080101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health