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Alycia Julia Wirtz
Mental Health Counselor in Fort Dodge, Iowa
NPI 1447846167

Alycia Julia Wirtz is a Mental Health Counselor based in Fort Dodge, IA and is specialized in Mental Health. Alycia Julia Wirtz practices in Fort Dodge, IA. The NPI Number for Alycia Julia Wirtz is 1447846167 and holds a License No. 101549 (Iowa).

The current practice location address for Alycia Julia Wirtz is 720 Kenyon Rd, Fort Dodge, IA and can be reached out via phone at 800-482-8305.

Location: 720 Kenyon Rd, Fort Dodge, IA, 50501-5759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447846167
Provider Name
Alycia Julia Wirtz
Credential
Provider Entity Type
Individual
Gender
Female
Address
720 Kenyon Rd, Fort Dodge, IA, 50501-5759
Phone Number
800-482-8305
Fax Number
Provider Enumeration Date
12/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0159608 05 IA
07466 01 IA BLUECROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
720 Kenyon Rd
City
Fort Dodge
State
Iowa
Zip
50501-5759
Phone Number
800-482-8305
Fax Number
person
Provider Business Mailing Address Details
Address
720 Kenyon Rd
City
Fort Dodge
State
Iowa
Zip
50501-5759
Phone Number
800-482-8305
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
101549 (Iowa)
Definition
Definition to come...
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