Individual
KELLY LYNN HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
508 FREEPORT AVE NW STE D, ELK RIVER, MN 55330-1874
(763) 441-1578
Mailing address
5933 195TH AVE NW, ANOKA, MN 55303-9612
(612) 865-2086
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC04630
MN
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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