Individual
KALLIE TIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1420 W SAINT GERMAIN ST STE, SUITE 104/105, SAINT CLOUD, MN 56301-4156
(320) 828-3037
Mailing address
721 2ND AVE N, SAUK RAPIDS, MN 56379-1617
(320) 828-3037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305597
MN
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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