Provider Demographics
NPI:1417296419
Name:MCDEVITT, JESSICA (MA, LIMHP, LADC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:MCDEVITT
Suffix:
Gender:F
Credentials:MA, LIMHP, LADC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:BENES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6215 S 31ST ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4622
Mailing Address - Country:US
Mailing Address - Phone:402-677-6716
Mailing Address - Fax:
Practice Address - Street 1:1124 N COTNER BLVD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-1834
Practice Address - Country:US
Practice Address - Phone:402-435-3165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-11
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1150101YA0400X
NE1572101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)