Individual
LYDIA LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
772 MCCURDY AVE S, RAINSVILLE, AL 35986-5211
(256) 601-1064
Mailing address
772 MCCURDY AVE S, RAINSVILLE, AL 35986-5211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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