Individual
MARIAH EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6911 VAN DORN ST STE 2, LINCOLN, NE 68506-6801
(307) 360-3122
Mailing address
6911 VAN DORN ST STE 2, LINCOLN, NE 68506-6801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13145
NE
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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