Individual
KELLY MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
510 N CHESTNUT ST, SUITE 201, CHASKA, MN 55318-3300
(952) 361-3360
(952) 513-7968
Mailing address
8401 WAYZATA BLVD, SUITE, GOLDEN VALLEY, MN 55426-1343
(763) 544-1006
(763) 544-1008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00970
MN
Other
Enumeration date
04/13/2015
Last updated
01/04/2019
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