Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 091553 | IA |
NPI | 1003228941 |
---|---|
Provider Name | Lindsay Hull |
First Address | Des Moines, IA 50310-5702 |
Second Address | Des Moines, IA 50310-5702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2014 |
Last Update Date | 24/04/2019 |