Individual
MRS. LYNDA DIANNE MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAC
Contact information
Practice address
151 S UNIVERSITY AVE, PROVO, UT 84601-4427
(801) 851-7652
Mailing address
151 UNIVERSITY AVE, PROVO, UT 84601
(801) 851-7652
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4944523-6006
UT
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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