Individual
EMILY ANN AXVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
1198 9TH ST, CORALVILLE, IA 52241-1779
(319) 432-8176
Mailing address
1198 9TH ST, CORALVILLE, IA 52241-1779
(319) 432-8176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001317
IA
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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