Individual
MISS KELLY PERTZSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(651) 645-5325
(651) 379-6141
Mailing address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(651) 645-5325
(651) 379-6141
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01345
MN
Other
Enumeration date
12/01/2015
Last updated
11/23/2016
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