Individual
LORI L OLLENDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
805 CENTURY DR STE 5, DUBUQUE, IA 52002-3771
(563) 590-5998
(563) 726-7384
Mailing address
805 CENTURY DR STE 5, DUBUQUE, IA 52002-3771
(563) 590-5998
(563) 726-7384
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639513401
—
IA
Enumeration date
04/24/2013
Last updated
11/06/2023
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