Provider Demographics
NPI:1487901260
Name:HAINES, JENEE BETH (MS, LIMHP, LPC, NCC)
Entity type:Individual
Prefix:
First Name:JENEE
Middle Name:BETH
Last Name:HAINES
Suffix:
Gender:F
Credentials:MS, LIMHP, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12237 LEWISON LN
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-4671
Mailing Address - Country:US
Mailing Address - Phone:308-991-3508
Mailing Address - Fax:
Practice Address - Street 1:5814 S 142ND ST STE B
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2855
Practice Address - Country:US
Practice Address - Phone:402-397-9866
Practice Address - Fax:402-397-1404
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1475101YM0800X
NE9738101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health