Individual
KELLEY ANNE HALLINGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
1715 TOWER DR W STE 100, STILLWATER, MN 55082-7609
(651) 390-5001
(651) 390-5002
Mailing address
1715 TOWER DR W STE 100, STILLWATER, MN 55082-7609
(651) 390-5001
(651) 390-5002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301921
MN
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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