Individual
ALYSSA VIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1105 N ANKENY BLVD STE 100, ANKENY, IA 50023-4003
(515) 255-8399
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
087466
IA
Other
Enumeration date
06/07/2013
Last updated
12/31/2024
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