Individual
LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 NW 88TH ST, STE 100, JOHNSTON, IA 50131-2950
(515) 727-1338
Mailing address
5415 NW 88TH ST, STE 100, JOHNSTON, IA 50131-2950
(515) 727-1338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00702
IA
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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