MEDICARE: JULIA C DREAMER PLMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	9561	NE

General Provider Information

NPI Number	:	1487911640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA C DREAMER PLMHP

Provider Business Mailing Address
First Line	:	1914 S 23RD ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68502-2716
Country	:	US
Telephone Number	:	402-730-7974
Fax Number	:

Provider Business Practice Location Address
First Line	:	1914 S 23RD ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68502-2716
Country	:	US
Telephone Number	:	402-730-7974
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2012
Last Update Date	:	04/12/2012

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