Individual
MS. KELLY NICHOLE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
310 E 38TH ST STE 320, MINNEAPOLIS, MN 55409-1338
(612) 243-1600
Mailing address
1002 6TH AVE S, STILLWATER, MN 55082-5842
(651) 363-0821
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1895
MN
Other
Enumeration date
09/03/2009
Last updated
01/30/2023
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