Individual
KAYLEE JO RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S LADC
Contact information
Practice address
909 BROADWAY ST, ALEXANDRIA, MN 56308-1813
(320) 763-0124
(320) 763-0126
Mailing address
4482 EGRET CT NW, ALEXANDRIA, MN 56308-4683
(320) 460-0286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305366
MN
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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