Individual
MS. YVONNE MARIE KILKELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LMFT
Contact information
Practice address
91 SNELLING AVE N, SUITE 230, SAINT PAUL, MN 55104-6753
(651) 642-9509
(651) 642-5909
Mailing address
91 SNELLING AVE N, SUITE 230, SAINT PAUL, MN 55104-6753
(651) 642-9509
(651) 642-5909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1430
MN
101YM0800X
Mental Health Counselor
Primary
549
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5G604KI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/02/2007
Last updated
07/08/2007
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