Individual
KELLY NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 STILLWATER RD STE 101, MAHTOMEDI, MN 55115-2060
(651) 760-0866
Mailing address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/19/2021
Last updated
03/03/2024
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