Individual
KENDALL WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 S ANKENY BLVD STE 101, ANKENY, IA 50023-9417
(515) 989-8266
Mailing address
2825 S ANKENY BLVD STE 101, ANKENY, IA 50023-9417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
115157
IA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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