Individual
MR. LYNNE GAIL FREASE MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMHC
Contact information
Practice address
400 CENTRAL AVE NW STE 1300, ORANGE CITY, IA 51041-1331
(712) 707-9988
(712) 707-9961
Mailing address
400 CENTRAL AVE NW STE 1300, ORANGE CITY, IA 51041-1331
(712) 707-9988
(712) 707-9961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001072
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11249
—
IA
Enumeration date
11/17/2006
Last updated
04/15/2015
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