Individual
KELLY ANN VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 MINNESOTA ST. SANDSTONE, MN 55072, SANDSTONE, MN 55072-5028
(218) 380-2551
(218) 520-3913
Mailing address
721 HIGHWAY 23 N, SANDSTONE, MN 55072-5028
(218) 481-5546
(218) 520-3913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303304
MN
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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