Individual
KELLI NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
716 SIBLEY AVE, GAYLORD, MN 55334-2386
(507) 237-9989
Mailing address
PO BOX 393, GAYLORD, MN 55334-0393
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.009052
IL
101YP2500X
Professional Counselor
Primary
CC01649
MN
Other
Enumeration date
08/07/2015
Last updated
03/17/2018
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