Individual
KELLY LEE WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
18484 KACHINA CT, LAKEVILLE, MN 55044-4886
(952) 993-8800
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LP303
MN
Other
Enumeration date
06/06/2011
Last updated
02/19/2025
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