Individual
MS. JENNIFER BLANCA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS., IN MFT
Contact information
Practice address
1144 29TH AVE N, SAINT CLOUD, MN 56303-5632
(320) 260-6772
(855) 291-6387
Mailing address
PO BOX 633, COLD SPRING, MN 56320-0633
(320) 260-6772
(855) 291-6387
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7569867
OUT OF NETWORK POLICY AND MOST CREDIT CARDS ARE ACCEPTED
MN
Enumeration date
02/23/2023
Last updated
02/23/2023
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