Individual provider · Type 1 NPI

Ekaradhika Lila Requena

Mental Health Counselor · Waverly, IA

NPI number 1619345543 Active

Practice location

111 10th St SW
Waverly, IA 50677-2925

Call (319) 352-2064 Map

Fax (319) 352-2329

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X079124 (IA)

Mental Health Counselor: Definition to come...

22 other providers at this address

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About NPI 1619345543

Ekaradhika Lila Requena's National Provider Identifier is 1619345543, issued on Sep 9, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waverly, IA. The record was last updated on Dec 20, 2023.