Calista Ann Conyac

Individual provider Active NPI Mental Health Counselor · Corning, IA

NPI 1730786229 · NPPES record last updated Oct 7, 2020

Key facts

NPI
1730786229
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
908 Benton Avenue
Corning, IA 50841-5160
Phone
(712) 215-3479
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

908 Benton Avenue
Corning, IA 50841-5160

Mailing address

1211 W Sheridan Ave
Shenandoah, IA 51601-1553
Phone (712) 215-3479

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address cconyac@ajcounseling.com Direct

Other providers in Corning, IA

All providers in Corning, IA · Mental Health Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.