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LUCY MARILYN DOUGLAS LMHC, ATR-BC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1053434928

Individual Registrant:
 LUCY MARILYN DOUGLAS LMHC, ATR-BC
Gender: F
Sole Proprietor

Location and contact information for practice:
2311 WARREN AVE  SAINT CHARLES, IA 50240-8502 US
Tel: 641-396-2703  Fax: --

Contact information for business:
2311 WARREN AVE  SAINT CHARLES, IA 50240-8502 US
Tel: 641-396-2703  Fax: --

Registration Information:
NPI: 1053434928
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
IA00355

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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