Individual
ALEXANDRA JENNETTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
558 28TH ST, DES MOINES, IA 50312-5222
(515) 218-9182
Mailing address
4007 LINCOLN PLACE DR, DES MOINES, IA 50312-3051
(515) 556-5558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T23002
IA
101YM0800X
Mental Health Counselor
Primary
117779
IA
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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