Individual
VERONICA LEE LESTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCP, LMHC
Contact information
Practice address
802 AVENUE G, FORT MADISON, IA 52627-4557
(319) 669-9131
Mailing address
P.O. BOX 334, FORT MADISON, IA 52627
(319) 669-9131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00998
IA
103TC0700X
Clinical Psychologist
071007891
IL
103TF0200X
Forensic Psychologist
00998
IA
103TF0200X
Forensic Psychologist
Primary
071007891
IL
Other
Enumeration date
08/20/2008
Last updated
11/16/2022
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