Provider Demographics
NPI:1134834609
Name:BUHR, JACQUELINE (PLMHP)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:
Last Name:BUHR
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 MONTROSE RD
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NE
Mailing Address - Zip Code:69346-2161
Mailing Address - Country:US
Mailing Address - Phone:308-665-5612
Mailing Address - Fax:
Practice Address - Street 1:512 MONTROSE RD
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NE
Practice Address - Zip Code:69346-2161
Practice Address - Country:US
Practice Address - Phone:308-665-5612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13263101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health