Individual
KELLY ANN BAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 WOODLAND AVE STE 430, WEST DES MOINES, IA 50266-1909
(515) 225-4006
Mailing address
3737 WOODLAND AVE, WEST DES MOINES, IA 50266-1909
(515) 225-4006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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