Individual
MRS. KELLY JEAN HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1244 ALBION AVE, FAIRMONT, MN 56031-3139
(507) 236-7568
Mailing address
1244 ALBION AVE, FAIRMONT, MN 56031-3139
(507) 236-7568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3275
MN
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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