Provider Demographics
NPI:1750673059
Name:EUHUS, DIANA ESTHER (LADC)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:ESTHER
Last Name:EUHUS
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.BOX 818
Mailing Address - Street 2:1012 WEST 3RD
Mailing Address - City:MCCOOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001
Mailing Address - Country:US
Mailing Address - Phone:308-345-2770
Mailing Address - Fax:308-345-2557
Practice Address - Street 1:1012 WEST 3RD
Practice Address - Street 2:
Practice Address - City:MCCOOK
Practice Address - State:NE
Practice Address - Zip Code:69001
Practice Address - Country:US
Practice Address - Phone:308-345-2770
Practice Address - Fax:308-345-2557
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE910101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor