| Linda K Dollen | |
|
2999 Wichita Ave Persia IA 51563-4070 | |
| (712) 488-2005 | |
| (712) 488-2005 |
| Full Name | Linda K Dollen |
|---|---|
| Speciality | Counselor |
| Location | 2999 Wichita Ave, Persia, Iowa |
| Authorized Official Name and Position | Linda K Dollen (SOLE PROPRIETOR) |
| Authorized Official Contact | 7124882005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda K Dollen 2999 Wichita Ave Persia IA 51563-4070 Ph: (712) 488-2005 | Linda K Dollen 2999 Wichita Ave Persia IA 51563-4070 Ph: (712) 488-2005 |
| NPI Number | 1902988082 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902988082 | NPI | - | NPPES |
| 1125286 | Medicaid | IA | |
| 0485540 | Other | IA | CMH WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Iowa) | Primary |