Individual
LYNETTE M MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3144 VANZILE ROAD, CRANDON, WI 54520-8149
(715) 478-5180
(715) 478-5904
Mailing address
3144 VANZILE ROAD, CRANDON, WI 54520-8149
(715) 478-5180
(715) 478-5904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5471
WI
101YM0800X
Mental Health Counselor
5471-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100028082
—
WI
Enumeration date
02/11/2013
Last updated
06/30/2021
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