Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY WILLMOTT, LADC
Active Sole ProprietorKELLY WILLMOTT, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PRIOR LAKE, Minnesota. NPI 1780929547 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · PRIOR LAKE, MN
Registration Details
- NPI Number
- 1780929547
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2012 (13.672876794296 yrs)
- Last Updated
- Dec 5, 2012
- License
-
302238 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16221 MAIN AVE SESUITE 102PRIOR LAKE, MN, 553721777Browse MN providers · Browse ZIP 55372
- Phone
- 9524406038
- Fax
- 9524406037
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PRIOR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| ERINN KROEGER | LADC, LSW | 1316241813 |
| DENNIS NELSON | BS, LADC | 1003197567 |
| RACHEL GRANTHAM | LADC | 1043591506 |
| KARLA WEBER | — | 1447590476 |
| ALLEN JEROME JOHNSON | — | 1922424407 |
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.