Individual
MS. LYNDA DIANE INNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
22 N GEORGIA AVE, SUITE 102, MASON CITY, IA 50401-3435
(641) 422-0070
(641) 422-0060
Mailing address
22 N GEORGIA AVE, SUITE 102, MASON CITY, IA 50401-3435
(641) 422-0070
(641) 422-0060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00252
IA
101YM0800X
Mental Health Counselor
4851
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102576
—
NC
Enumeration date
10/02/2006
Last updated
10/08/2012
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