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Individual

MRS. JILL DIANE ECKERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
11909 ARBOR ST STE A, OMAHA, NE 68144-4418
(402) 708-7597
(402) 625-0455
Mailing address
15733 JACKSON DR, OMAHA, NE 68118-2105
(402) 657-3700

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
520
NE
101YM0800X
Mental Health Counselor
Primary
846
NE

Other

Enumeration date
01/17/2011
Last updated
05/28/2020
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