Individual
KELLY D READEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED LPCC-S, LMAC-S
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
PO BOX 5007, MINOT, ND 58702-5007
(701) 857-4232
(701) 852-1190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
632-3-15-09-227
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78085
—
ND
Enumeration date
05/02/2007
Last updated
05/12/2025
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