Provider Demographics
NPI:1922751064
Name:HAKIZIMANA, ARIANE ISHIMWE
Entity Type:Individual
Prefix:
First Name:ARIANE
Middle Name:ISHIMWE
Last Name:HAKIZIMANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 SOLAR DR
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-2469
Mailing Address - Country:US
Mailing Address - Phone:319-486-8548
Mailing Address - Fax:
Practice Address - Street 1:306 W STATE ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:IA
Practice Address - Zip Code:52361-9700
Practice Address - Country:US
Practice Address - Phone:319-668-1217
Practice Address - Fax:319-668-1220
Is Sole Proprietor?:No
Enumeration Date:2022-01-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health