| Lila Ananda Wallace, LMFT | |
|
306 W Adams Ave, Fairfield, IA 52556-3314 | |
| (641) 455-9630 | |
| Not Available |
| Full Name | Lila Ananda Wallace |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 306 W Adams Ave, Fairfield, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679863674 | NPI | - | NPPES |
| 94538 | Other | CA | MFT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 94538 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lila Ananda Wallace, LMFT 306 W Adams Ave, Fairfield, IA 52556-3314 Ph: (641) 455-9630 | Lila Ananda Wallace, LMFT 306 W Adams Ave, Fairfield, IA 52556-3314 Ph: (641) 455-9630 |
Mrs. Casey Ann Verlee Johnston, TMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 103 E Adams Ave, Fairfield, IA 52556 Phone: 641-455-0636 | |
Victoria Jean Knight, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 414 N 3rd St Ste 17, Fairfield, IA 52556 Phone: 320-295-1263 | |
Christina Cox, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 500 N 3rd St, Fairfield, IA 52556 Phone: 319-668-1217 |