Individual
SHELBY A KIRKWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
110 14TH AVE E, SARTELL, MN 56377-4644
(320) 202-1400
Mailing address
110 14TH AVE E, SARTELL, MN 56377-4644
(320) 202-1400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CC02633
MN
Other
Enumeration date
02/18/2021
Last updated
03/02/2022
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