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Madeline Raye Kelly, LADC
Addiction (Substance Use Disorder) Counselor in Mankato, Minnesota
NPI 1427513928

Madeline Raye Kelly is an Addiction (Substance Use Disorder) Counselor based in Germantown, MN and is specialized in Addiction (Substance Use Disorder). Madeline Raye Kelly practices in Mankato, MN and has the professional credentials of LADC. The NPI Number for Madeline Raye Kelly is 1427513928 and holds a License No. (Minnesota).

The current practice location address for Madeline Raye Kelly is 44 Good Counsel Dr, Mankato, MN and can be reached out via phone at 800-438-1772 and via fax at 262-345-5562.

Location: 44 Good Counsel Dr, Mankato, MN, 53022-6511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427513928
Provider Name
Madeline Raye Kelly
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
44 Good Counsel Dr, Mankato, MN, 53022-6511
Phone Number
800-438-1772
Fax Number
262-345-5562
Provider Enumeration Date
02/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
44 Good Counsel Dr
City
Mankato
State
Minnesota
Zip
56001-6599
Phone Number
800-438-1772
Fax Number
262-345-5562
person
Provider Business Mailing Address Details
Address
44 Good Counsel Dr
City
Mankato
State
Minnesota
Zip
56001-6599
Phone Number
800-438-1772
Fax Number
262-345-5562
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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