Individual
LYNAE DIANE MCMILLEN DICKEYTESDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LMHC
Contact information
Practice address
1415 S MONROE AVE STE C, MASON CITY, IA 50401-5678
(641) 423-1178
Mailing address
1415 S MONROE AVE STE C, MASON CITY, IA 50401-5678
(641) 423-1178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
074799
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
Enumeration date
09/09/2015
Last updated
11/21/2025
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