MEDICARE: LJUBOMIRKA BIJELIC-APPENZELLER TLMHC

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
1	101YM0800X	Mental Health Counselor	104989	IA

General Provider Information

NPI Number	:	1033716642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LJUBOMIRKA BIJELIC-APPENZELLER TLMHC

Provider Business Mailing Address
First Line	:	6315 CHANCELLOR DR
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-6919
Country	:	US
Telephone Number	:	319-250-5982
Fax Number	:

Provider Business Practice Location Address
First Line	:	6315 CHANCELLOR DR
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-6919
Country	:	US
Telephone Number	:	319-250-5982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2020
Last Update Date	:	01/29/2024

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