Healthcare Provider Details

I. General information

NPI: 1316337892
Provider Name (Legal Business Name): CHELSEY BOBZIEN IADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHELSEY JOHNK

II. Dates (important events)

Enumeration Date: 02/04/2015
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E 11TH ST
SPENCER IA
51301-4460
US

IV. Provider business mailing address

201 E 11TH ST
SPENCER IA
51301-4436
US

V. Phone/Fax

Practice location:
  • Phone: 712-262-2922
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number14R100
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: