Individual
KELLY MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 JENNIFER LN, CEDAR FALLS, IA 50613-7524
(319) 240-8815
Mailing address
4210 JENNIFER LN, CEDAR FALLS, IA 50613-7524
(319) 240-8815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076372
—
IA
Enumeration date
07/22/2014
Last updated
08/24/2025
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