Individual provider · Type 1 NPI

Kristy Bazzanella, LPC

Mental Health Counselor · Mineral, VA

NPI number 1174979207 Active

Practice location

315 Johnny Hall Rd
Mineral, VA 23117-5202

Fax (844) 480-1755

Mailing address

7036 Zachary Taylor Hwy
Mineral, VA 23117-5312

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0701006594 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1174979207

Kristy Bazzanella, LPC's National Provider Identifier is 1174979207, issued on May 7, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mineral, VA. The record was last updated on Sep 17, 2016.