Individual
ALEXANDER N ANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S, M.ED
Contact information
Practice address
405 E FOREST ST, OCONOMOWOC, WI 53066-3707
(262) 468-8990
Mailing address
1391 FOREST VIEW LN, OCONOMOWOC, WI 53066-3493
(262) 468-8990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701006974
VA
101YM0800X
Mental Health Counselor
8283
NC
101YM0800X
Mental Health Counselor
Primary
8460
WI
Other
Enumeration date
03/10/2011
Last updated
04/12/2022
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