Individual
KELLY ELISA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
3640 TALMAGE CIR, STE 210, VADNAIS HEIGHTS, MN 55110-4183
(651) 493-8150
(651) 493-9335
Mailing address
3640 TALMAGE CIR, STE 210, VADNAIS HEIGHTS, MN 55110-4183
(651) 493-8150
(651) 493-9335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1272
MN
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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