Individual
MR. ERIC SCOTT MCDOUGLE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LMHP
Contact information
Practice address
5951 AMES AVE, OMAHA, NE 68104-2705
(402) 457-5761
(402) 457-1997
Mailing address
7911 NEWPORT AVE, OMAHA, NE 68122-1638
(402) 813-1104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2993 LMHP
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2993
LMHP
NE
01
—
85658
BCBSNE PROVIDER NUMBER
NE
Enumeration date
02/02/2007
Last updated
07/08/2007
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