Individual
EMILI LAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1797 340TH AVE, ESTHERVILLE, IA 51334-7011
(712) 357-8742
Mailing address
1797 340TH AVE, ESTHERVILLE, IA 51334-7011
(712) 357-8742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
081028
IA
101YP2500X
Professional Counselor
CC03849
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081028
IOWA BOARD OF PROFESSIONAL LICENSURE
IA
01
—
CC03849
MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY
MN
Enumeration date
04/05/2016
Last updated
06/19/2023
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