Kelli Bastiaanse
Kelli Bastiaanse is a Mental Health Counselor in Bristol, Connecticut. Qualified in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment.
- Years since qualifying
- 25
- In the registry since
- 2011
Practice location Address checks out
29 Windham RdBristol, CT 06010-2762
Phone: (860) 331-1854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1730476870 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 8, 2011 |
| Last updated in NPPES | July 8, 2011 |
| Mailing address | 29 Windham Rd, Bristol, CT 06010-2762 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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