Individual provider · Type 1 NPI

Kelly Ann Bazan

Mental Health Counselor · West Des Moines, IA

NPI number 1740888668 Active

Practice location

3737 Woodland Ave Ste 430
West Des Moines, IA 50266-1909

Mailing address

3737 Woodland Ave
West Des Moines, IA 50266-1909

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740888668

Kelly Ann Bazan's National Provider Identifier is 1740888668, issued on Oct 13, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Des Moines, IA. The record was last updated on Oct 13, 2020.