Individual
MS. LAURA LANE'E VAN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
18569 LANE RD, FAYETTE, IA 52142-9525
(563) 422-5606
(563) 422-5607
Mailing address
104 N WELLS ST, WEST UNION, IA 52175-1349
(563) 412-9348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001445
IA
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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