Individual provider · Type 1 NPI

Kelli Bastiaanse

Mental Health Counselor · Bristol, CT

NPI number 1730476870 Active

Practice location

29 Windham Rd
Bristol, CT 06010-2762

Call (860) 331-1854 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1730476870

Kelli Bastiaanse's National Provider Identifier is 1730476870, issued on Jul 8, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bristol, CT. The record was last updated on Jul 8, 2011.