Individual
JENNIFER LEE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
8441 WAYZATA BLVD, GOLDEN VALLEY, MN 55426-1344
(962) 835-6540
Mailing address
8001 47TH AVE N, NEW HOPE, MN 55428-4507
(612) 242-9338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4593
MN
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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