Provider Demographics
NPI:1538978622
Name:WILTGEN, ALAYNA THERESE (LMHC)
Entity type:Individual
Prefix:
First Name:ALAYNA
Middle Name:THERESE
Last Name:WILTGEN
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 1:1006 4TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-1597
Mailing Address - Country:US
Mailing Address - Phone:515-205-2737
Mailing Address - Fax:
Practice Address - Street 1:650 S PRAIRIE VIEW DR
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-6686
Practice Address - Country:US
Practice Address - Phone:515-205-2737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00301101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health