Individual
ALEXANDRA ENNALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
103 E ADAMS AVENUE, FAIRFIELD, IA 52556-3461
(319) 293-3635
Mailing address
103 E ADAMS AVE, FAIRFIELD, IA 52556-3461
(319) 293-3635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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