Provider Demographics
NPI:1205656097
Name:LEFFLER, ALEXANDRIA (LMHC)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:LEFFLER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 WILLIAMS DR APT 8
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-2669
Mailing Address - Country:US
Mailing Address - Phone:515-227-1690
Mailing Address - Fax:
Practice Address - Street 1:916 WILLIAMS DR APT 8
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-2669
Practice Address - Country:US
Practice Address - Phone:515-227-1690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA116750101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health