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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEODORE R. LIAUTAUD

Active Organization

THEODORE R. LIAUTAUD is a Mental Health Counselor organization located in LAKE VIEW, Iowa. NPI 1487779575 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · LAKE VIEW, IA

Registration Details

NPI Number
1487779575
Provider Type
Organization
NPI Issued
Mar 20, 2007 (19.419529977396 yrs)
Last Updated
Sep 30, 2008
Licenses
01790 (IA)
01790 (IA)

Practice Information

Address
421 E SHORE DR
LAKE VIEW, IA, 51450
Browse IA providers · Browse ZIP 51450
Phone
7126572211
Fax
7126572106
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.