Individual
KANDY EISENBARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LMFT, LADC
Contact information
Practice address
4535 NORMAL BLVD, SUITE 142, LINCOLN, NE 68506-5576
(402) 327-1634
(402) 261-8263
Mailing address
4535 NORMAL BLVD, SUITE 142, LINCOLN, NE 68506-5576
(402) 327-1634
(402) 261-8263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
492
NE
101YM0800X
Mental Health Counselor
2322
NE
101YM0800X
Mental Health Counselor
Primary
319
NE
106H00000X
Marriage & Family Therapist
103
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026600700
—
NE
Enumeration date
03/21/2014
Last updated
10/22/2016
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