Individual
ALEXIS TEALE LACHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3261 UNIVERSITY AVE, WATERLOO, IA 50701-2051
(319) 239-2016
Mailing address
PO BOX 635, GILBERTVILLE, IA 50634-0635
(319) 404-1707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
104994
IA
Other
Enumeration date
04/12/2022
Last updated
07/05/2024
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