Individual
KELLI POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 WOODLAND AVE STE 620, WEST DES MOINES, IA 50266-1937
(515) 992-9119
Mailing address
1622 NW MAPLE PL, ANKENY, IA 50023-4271
(515) 992-9119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100035
IA
225A00000X
Music Therapist
001848
NY
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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