Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLY SUMMERS, LADC
Active Sole ProprietorMS. KELLY SUMMERS, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SPRING LAKE PARK, Minnesota. NPI 1912217480 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SPRING LAKE PARK, MN
Registration Details
- NPI Number
- 1912217480
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2010 (15.811999056434 yrs)
- Last Updated
- Oct 18, 2010
- License
-
302446 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
950 COUNTY HIGHWAY 10108SPRING LAKE PARK, MN, 554321253Browse MN providers · Browse ZIP 55432
- Phone
- 7633555092
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SPRING LAKE PARK, MN
| Name | Credential | NPI |
|---|---|---|
| TODD OSTERTAG | LADC | 1558832352 |
| ANITA RAAUM | — | 1851863120 |
| KRISTINE MARIE PAPPONE | — | 1346805108 |
| MISS ROSANNA KARMOEDDIEN | LADC | 1528619244 |
| CHARLES BERNARD HILGER JR. | LADC | 1124710264 |
| CLIFF DAHLBERG | MSW, LGSW, LADC | 1538949318 |
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.