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LUCY MARILYN DOUGLAS LMHC, ATR-BC
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1053434928
Individual Registrant: LUCY MARILYN DOUGLAS LMHC, ATR-BC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2311 WARREN AVE SAINT CHARLES, IA 50240-8502 US
Tel: 641-396-2703 Fax: --
Tel: 641-396-2703 Fax: --
Contact information for business:
2311 WARREN AVE SAINT CHARLES, IA 50240-8502 US
Tel: 641-396-2703 Fax: --
Tel: 641-396-2703 Fax: --
Registration Information:
NPI: 1053434928
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | IA | 00355 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
