Individual
LYDIA BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 WILLIS AVE STE 12, PERRY, IA 50220-1662
(515) 992-6638
Mailing address
PO BOX 253, PERRY, IA 50220-0253
(151) 992-6638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
121149
IA
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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