Individual
MRS. MECHTILD BERNADETTE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLMFT
Contact information
Practice address
420 6TH ST SE, CEDAR RAPIDS, IA 52401-1903
(319) 364-7121
Mailing address
2400 CIMARRON DR, MARION, IA 52302-9791
(319) 651-9685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
075171
IA
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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