Individual
JASON KELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.C.C.
Contact information
Practice address
7115 MARLOWE AVE NE, OTSEGO, MN 55330-7471
(612) 839-2828
Mailing address
7115 MARLOWE AVE NE, OTSEGO, MN 55330-7471
(612) 839-2828
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00613
MN
Other
Enumeration date
10/09/2009
Last updated
04/01/2026
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