Individual
MRS. STEPHANIE ALEXANDRA ILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1522 NEW HOPE RD., ROCKWOOD, TN 37854
(408) 982-7059
Mailing address
526 POINTE VISTA DR., ROCKWOOD, TN 37854
(408) 504-1909
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT128777
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT2084
TN
106H00000X
Marriage & Family Therapist
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—
Other
Enumeration date
01/04/2017
Last updated
11/02/2022
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