Provider Demographics
NPI:1568777357
Name:ANLIKER, LEJEANA MARIE (MS MHC)
Entity Type:Individual
Prefix:
First Name:LEJEANA
Middle Name:MARIE
Last Name:ANLIKER
Suffix:
Gender:F
Credentials:MS MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:1800 19TH STREET
Mailing Address - City:ROCK VALLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51247-0070
Mailing Address - Country:US
Mailing Address - Phone:712-476-3281
Mailing Address - Fax:712-476-2970
Practice Address - Street 1:1800 19TH ST
Practice Address - Street 2:
Practice Address - City:ROCK VALLEY
Practice Address - State:IA
Practice Address - Zip Code:51247-1037
Practice Address - Country:US
Practice Address - Phone:712-476-3281
Practice Address - Fax:712-476-2970
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001321101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health