Organization
LYNN E FLINT WIDDIFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN E FLINT WIDDIFIELD LMHP ATR BC (OWNER SOLE THERAPIST)
(308) 381-0787
Entity
Organization
Contact information
Practice address
1811 W 2ND ST, SUITE 310, GRAND ISLAND, NE 68803-5464
(308) 381-0787
(308) 381-4632
Mailing address
1811 W 2ND ST, SUITE 310, GRAND ISLAND, NE 68803-5413
(308) 381-0787
(308) 381-4632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1209
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025443500
—
NE
Enumeration date
12/04/2006
Last updated
01/18/2017
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