Individual
JEREMY RAY EBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMHP
Contact information
Practice address
630 N COTNER BLVD STE 103, LINCOLN, NE 68505-2339
(402) 984-4424
Mailing address
127 S 37TH ST STE B, LINCOLN, NE 68510-1502
(402) 476-2300
(402) 476-2337
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9185
NE
101YM0800X
Mental Health Counselor
Primary
1437
NE
Other
Enumeration date
09/21/2010
Last updated
06/03/2019
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