Individual
KELLY JEAN MIKLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
6063 HUDSON RD STE 200, WOODBURY, MN 55125-4455
(952) 460-9090
Mailing address
6063 HUDSON RD STE 200, WOODBURY, MN 55125-4455
(952) 460-9090
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3177
MN
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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