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Manda Lee Boothby, LMHC
Mental Health Counselor in Alta, Iowa
NPI 1356602684

Manda Lee Boothby is a Mental Health Counselor based in Alta, IA and is specialized in Mental Health. Manda Lee Boothby practices in Alta, IA and has the professional credentials of LMHC. The NPI Number for Manda Lee Boothby is 1356602684 and holds a License No. 001324 (Iowa).

The current practice location address for Manda Lee Boothby is 656 520Th St, Alta, IA and can be reached out via phone at 712-251-5308.

Location: 656 520Th St, Alta, IA, 51002-7535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356602684
Provider Name
Manda Lee Boothby
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
656 520Th St, Alta, IA, 51002-7535
Phone Number
712-251-5308
Fax Number
Provider Enumeration Date
06/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
656 520Th St
City
Alta
State
Iowa
Zip
51002-7535
Phone Number
712-251-5308
Fax Number
person
Provider Business Mailing Address Details
Address
656 520Th St
City
Alta
State
Iowa
Zip
51002-7535
Phone Number
712-251-5308
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
001324 (Iowa)
Definition
Definition to come...
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