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NPI Code Detail

MEDICARE: GWENDOLYN C DOLAND MS LMHC CADC

MEDICARE: GWENDOLYN C DOLAND MS LMHC CADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist00197IA
2101YM0800XMental Health Counselor001397

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548552763
Entity Type Code : Individual
Provider Name (Legal Business Name) : GWENDOLYN C DOLAND MS LMHC CADC
Provider Business Mailing Address
First Line : 103 W HIGH ST
Second Line :
City : TOLEDO
State : IA
Zip : 52342-1319
Country : US
Telephone Number : 515-577-4757
Fax Number :
Provider Business Practice Location Address
First Line : 103 W HIGH ST
Second Line :
City : TOLEDO
State : IA
Zip : 52342-1319
Country : US
Telephone Number : 515-577-4757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2011
Last Update Date : 09/05/2023

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