Individual
KELSEY JO BAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 KENYON RD, FORT DODGE, IA 50501-5787
(515) 955-7171
(515) 573-7898
Mailing address
720 KENYON RD, FORT DODGE, IA 50501-5787
(515) 955-7171
(515) 573-7898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
121863
IA
Other
Enumeration date
08/14/2023
Last updated
01/09/2026
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