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Organization

LT RESOURCES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN LIANE HOORNSTRA MS, LPC (PSYCHOTHERAPIST)
(715) 284-9477
Entity
Organization

Contact information

Practice address
409 COUNTY ROAD R, BLACK RIVER FALLS, WI 54615-5129
(715) 284-9477
(715) 284-5547
Mailing address
409 COUNTY ROAD R, PO BOX 271, BLACK RIVER FALLS, WI 54615-5129
(715) 284-9477
(715) 284-5547

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
15427131
WI
251S00000X
Community/Behavioral Health Agency
Primary
3117125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42254300
WI
Enumeration date
07/29/2010
Last updated
09/20/2011
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