Individual
LINDY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
4001 LEAVENWORTH ST, OMAHA, NE 68105-1026
(402) 341-5128
Mailing address
1607 S LENOX CIR, COUNCIL BLUFFS, IA 51503-2551
(402) 980-9191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
10142
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075893
—
IA
05
—
1684
—
NE
Enumeration date
01/22/2014
Last updated
02/07/2019
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