Individual
KELLI P SKOOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
1114 GRAND AVE, SAINT PAUL, MN 55105-2628
(612) 444-1890
Mailing address
6712 2ND AVE S, RICHFIELD, MN 55423-2411
(612) 581-6742
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3416
MN
106H00000X
Marriage & Family Therapist
Z096253359215
MN
Other
Enumeration date
01/14/2016
Last updated
01/28/2021
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