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Individual

JARRED KELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC, BS

Contact information

Practice address
1125SE 6TH STREET, WILLMAR, MN 56201-5620
(320) 235-4613
Mailing address
1125SE 6TH STREET, WILLMAR, MN 56201
(320) 235-4613

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304678
MN

Other

Enumeration date
10/23/2019
Last updated
10/23/2019
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