Individual
AMY R. EIGENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
2908 W 39TH ST STE B, KEARNEY, NE 68845
(308) 237-0391
(308) 708-7452
Mailing address
2908 W 39TH ST STE B, KEARNEY, NE 68845-1245
(308) 237-0391
(308) 708-7452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
823
NE
101YM0800X
Mental Health Counselor
Primary
398
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026704700
—
NE
Enumeration date
10/03/2006
Last updated
06/26/2018
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