Most Relevant Information
Provider Data
| NPI Number: | 1003530874 |
| Provider Name: | MARIAH EATON MS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 13145 |
Most Important Dates
| Enumeration Date: | 09/26/2022 |
| Last Updated: | 09/26/2022 |
Provider Practice Location
6911 VAN DORN ST STE 2
LINCOLN
NE
685066801
Practice Location Phone/Fax
| Phone: | 3073603122 |
| Fax: |
Provider Mailing Location
6911 VAN DORN ST STE 2
LINCOLN
NE
685066801
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |