Individual
ALICIA TANNAHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N EISENHOWER AVE, MASON CITY, IA 50401-7340
(641) 423-7362
Mailing address
50 N EISENHOWER AVE, MASON CITY, IA 50401-7340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
091979
IA
Other
Enumeration date
06/20/2018
Last updated
11/02/2020
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