Individual
MARY KELLY KIRK-WILLENBRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1915 LYNDALE AVE S, MINNEAPOLIS, MN 55403-3104
(800) 336-5973
(612) 234-4689
Mailing address
1915 JULIET AVE, SAINT PAUL, MN 55105-1710
(612) 860-7566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC03021
MN
Other
Enumeration date
12/16/2021
Last updated
09/29/2025
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