Provider Demographics
NPI:1295026961
Name:EAGER, JULIE RAE (LIMHP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:RAE
Last Name:EAGER
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:MARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1029 S 29TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-3211
Mailing Address - Country:US
Mailing Address - Phone:402-742-7243
Mailing Address - Fax:402-742-7243
Practice Address - Street 1:1029 S 29TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-3211
Practice Address - Country:US
Practice Address - Phone:402-742-7243
Practice Address - Fax:402-742-7243
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE868101YM0800X
NE1073101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health