person
Kelly Willmott, LADC
Addiction (Substance Use Disorder) Counselor in Prior Lake, Minnesota
NPI 1780929547

Kelly Willmott is an Addiction (Substance Use Disorder) Counselor based in Prior Lake, MN and is specialized in Addiction (Substance Use Disorder). Kelly Willmott practices in Prior Lake, MN and has the professional credentials of LADC. The NPI Number for Kelly Willmott is 1780929547 and holds a License No. 302238 (Minnesota).

The current practice location address for Kelly Willmott is 16221 Main Ave Se, Prior Lake, MN and can be reached out via phone at 952-440-6038 and via fax at 952-440-6037.

Location: 16221 Main Ave Se, Prior Lake, MN, 55372-1777
person
Provider Profile Details
NPI Number
1780929547
Provider Name
Kelly Willmott
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
16221 Main Ave Se, Prior Lake, MN, 55372-1777
Phone Number
952-440-6038
Fax Number
952-440-6037
Provider Enumeration Date
12/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16221 Main Ave Se
City
State
Zip
55372-1777
Phone Number
952-440-6038
Fax Number
952-440-6037
person
Provider Business Mailing Address Details
Address
16221 Main Ave Se
City
State
Zip
55372-1777
Phone Number
952-440-6038
Fax Number
952-440-6037
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302238 (Minnesota)
Definition
Definition to come...
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