Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLAN VENCIL
ActiveKELLAN VENCIL is a Professional Counselor healthcare provider located in ANDOVER, Minnesota. NPI 1083143655 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ANDOVER, MN
Registration Details
- NPI Number
- 1083143655
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2017 (9.1580106550741 yrs)
- Last Updated
- Jul 15, 2022
- Licenses
-
P-1400 (NE)CC02700 (MN)
Practice Information
- Address
-
1875 STATION PKWY NWANDOVER, MN, 553043319Browse MN providers · Browse ZIP 55304
- Phone
- 7634829598
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in ANDOVER, MN
| Name | Credential | NPI |
|---|---|---|
| AMANDA CHRISTINE HOHAG | M.S. | 1114246139 |
| RACHEL LYN KUSILEK | LPCC | 1326390584 |
| TREVOR ASHER | — | 1306263884 |
| CATHERINE TAMAYO | MS LPCC | 1447659420 |
| KATELYN HEJNA | — | 1164803748 |
| MARK MOLYNEAUX | M.A., L.P.C.C. | 1962851303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.