MS. Kristy Bazzanella, LPC

NPI #1174979207 in Mineral, Virginia

Provider Information

NPI Number: 1174979207
Entity Type: Individual
Name: MS. Kristy Bazzanella, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: May 7, 2016
Last Updated: Sep 17, 2016

Practice Location

Address: 315 JOHNNY HALL RD
City: Mineral
State: Virginia
ZIP Code: 23117-5202
Phone: (540) 604-3267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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