Individual
MANDA LEE BOOTHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
616 WILLOW ST, APT 1, PO BOX 74, AURELIA, IA 51005-0074
(712) 251-5308
Mailing address
PO BOX 74, AURELIA, IA 51005-0074
(712) 251-5308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001324
IA
Other
Enumeration date
06/04/2012
Last updated
02/03/2025
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