Provider Demographics
NPI:1932224193
Name:LUETCHENS, JOLANE JEANNE (MS LMHP LMFT)
Entity Type:Individual
Prefix:MS
First Name:JOLANE
Middle Name:JEANNE
Last Name:LUETCHENS
Suffix:
Gender:F
Credentials:MS LMHP LMFT
Other - Prefix:
Other - First Name:JOLANE
Other - Middle Name:
Other - Last Name:BAKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:718 EASTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510
Mailing Address - Country:US
Mailing Address - Phone:402-489-9933
Mailing Address - Fax:
Practice Address - Street 1:4535 NORMAL BLVD
Practice Address - Street 2:STE 222
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506
Practice Address - Country:US
Practice Address - Phone:402-489-9933
Practice Address - Fax:402-489-9936
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NELMHP992101YM0800X
NELMFT 08106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist