SearchMinnesotaAddiction (Substance Use Disorder) Counselor

Kelly Willmott, LADC

NPI 1780929547 · on the registry since 2012 · sole proprietor

Practice

Address
16221 Main Ave Se
Suite 102
Prior Lake, MN 55372
Phone
(952) 440-6038
Fax
(952) 440-6037

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota