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 |