Individual
KELSI VI KENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
213 N ANKENY BLVD STE 100, ANKENY, IA 50023-1749
(515) 337-1764
Mailing address
8350 EP TRUE PKWY UNIT 3106, WEST DES MOINES, IA 50266-8374
(309) 798-9924
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000394
IL
Other
Enumeration date
06/06/2016
Last updated
11/01/2018
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