Individual
MS. LYNETTE MARY SICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
325 33RD AVE N STE 103, SAINT CLOUD, MN 56303-1929
(320) 253-3715
(320) 252-2567
Mailing address
325 33RD AVE N STE 103, SAINT CLOUD, MN 56303-1929
(320) 253-3715
(320) 252-2567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
300034
MN
101YM0800X
Mental Health Counselor
Primary
00008
MN
Other
Enumeration date
12/19/2005
Last updated
04/18/2018
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