Alexandra Kruse, T-LMFT
Individual provider Active NPI Marriage & Family Therapist · Mount Vernon, IA
NPI 1497360374 · NPPES record last updated Sep 9, 2020
Key facts
- NPI
- 1497360374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 100427 (IA)
- Practice address
- 104 2ND Ave NW
Mount Vernon, IA 52314-1301 - Phone
- (319) 343-6462
- NPI assigned
- Sep 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100427 | IA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 100427 | IA | Yes |
Addresses
Primary practice location
104 2ND Ave NW
Mount Vernon, IA 52314-1301
Mailing address
104 2ND Ave NW
Mount Vernon, IA 52314-1301
Other providers in Mount Vernon, IA
- Tiffany Tevolina Khachikyan
- Kluver Chiropractic, PC
- Brad Allen Kluver
- Tiernie J. Kluver
- Austin D Kramer
- Deanna Lala
- Kelly Leeper
- Lisbon - Mt Vernon Ambulance Service
- Rebecca Rae Louison
- Matthew John Margheim
All providers in Mount Vernon, IA · Marriage & Family Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.