Individual
KELCIE JEAN PARRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12997 BERRYWOOD DR, BAXTER, MN 56425-9715
(218) 330-5427
Mailing address
12997 BERRYWOOD DR, BAXTER, MN 56425-9715
(218) 330-5427
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306000
MN
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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