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NPI Code Detail

MEDICARE: ALEXANDRA MARIE SMARS

MEDICARE: ALEXANDRA MARIE SMARS
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
1101YM0800XMental Health Counselor7729-125WI

General Provider Information

NPI Number : 1780199141
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA MARIE SMARS
Provider Business Mailing Address
First Line : 18000 W SARAH LN STE 210
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-5840
Country : US
Telephone Number : 262-506-8552
Fax Number :
Provider Business Practice Location Address
First Line : 18000 W SARAH LN STE 210
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-5840
Country : US
Telephone Number : 262-506-8552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2017
Last Update Date : 07/21/2025

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Directions to “ ALEXANDRA MARIE SMARS ” Practice Location

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