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NPI Code Detail

MEDICARE: ALEXANDRA CATHERINE MARIE FIOLA

MEDICARE:   ALEXANDRA CATHERINE MARIE FIOLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225800000XRecreation TherapistWA
2101YM0800XMental Health CounselorCG70058349WA

General Provider Information

NPI Number : 1821430315
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA CATHERINE MARIE FIOLA
Provider Business Mailing Address
First Line : 7700 300TH ST NW
Second Line :
City : STANWOOD
State : WA
Zip : 98292-5841
Country : US
Telephone Number : 831-402-1999
Fax Number :
Provider Business Practice Location Address
First Line : 7700 300TH ST NW
Second Line :
City : STANWOOD
State : WA
Zip : 98292-5841
Country : US
Telephone Number : 360-209-8430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2013
Last Update Date : 12/11/2025

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Directions to “ ALEXANDRA CATHERINE MARIE FIOLA ” Practice Location

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