Individual
KELLY JO MCMARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3833 COON RAPIDS BLVD NW, SUITE 120, COON RAPIDS, MN 55433-2643
(763) 767-3350
Mailing address
1900 SILVER LAKE RD NW, #110, NEW BRIGHTON, MN 55112-1786
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01423
MN
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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