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Agnes Melissa Ibanez, LPCLMHP
Mental Health Counselor in Omaha, Nebraska
NPI 1457493439

Agnes Melissa Ibanez is a Mental Health Counselor based in Omaha, NE and is specialized in Mental Health. Agnes Melissa Ibanez practices in Omaha, NE and has the professional credentials of LPCLMHP. The NPI Number for Agnes Melissa Ibanez is 1457493439 and holds a License No. 1106 (Nebraska).

The current practice location address for Agnes Melissa Ibanez is 8011 Chicago St, Omaha, NE and can be reached out via phone at 402-517-5773 and via fax at 402-551-4724.

Location: 8011 Chicago St, Omaha, NE, 68114-3533
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Provider Profile Details
NPI Number
1457493439
Provider Name
Agnes Melissa Ibanez
Credential
LPCLMHP
Provider Entity Type
Individual
Gender
Female
Address
8011 Chicago St, Omaha, NE, 68114-3533
Phone Number
402-517-5773
Fax Number
402-551-4724
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
247861 01 MIDLANDS CHOICE
10025862300 05 NE
84658 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
8011 Chicago St
City
State
Zip
68114-3533
Phone Number
402-517-5773
Fax Number
402-551-4724
person
Provider Business Mailing Address Details
Address
8011 Chicago St
City
State
Zip
68114-3533
Phone Number
402-517-5773
Fax Number
402-551-4724
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1424 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1106 (Nebraska)
Definition
Definition to come...
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