Provider Demographics
NPI:1164693701
Name:HOOD-KJELDGAARD, REBECCA E (LIMHP, LMHP)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:E
Last Name:HOOD-KJELDGAARD
Suffix:
Gender:F
Credentials:LIMHP, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 S. 29TH STREET
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131
Mailing Address - Country:US
Mailing Address - Phone:402-345-6555
Mailing Address - Fax:402-345-0635
Practice Address - Street 1:222 S 29TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-3543
Practice Address - Country:US
Practice Address - Phone:402-345-6555
Practice Address - Fax:402-345-0635
Is Sole Proprietor?:No
Enumeration Date:2008-03-21
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE913101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health