Individual
LORI HANCOCK-MUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CADC
Contact information
Practice address
505 5TH AVE, STE.600, DES MOINES, IA 50309-2324
(515) 471-2317
Mailing address
1010 4TH AVE NW, ALTOONA, IA 50009-1597
(515) 471-2317
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01102
IA
101YM0800X
Mental Health Counselor
Primary
00825
IA
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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