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Kelly Summers, LADC

NPI 1912217480 · on the registry since 2010 · sole proprietor

Practice

Address: 950 County Highway 10
108
Spring Lake Park, MN 55432
Phone: (763) 355-5092
Organisation at this address: Royal Motion Transit Llc
Moving Forward Assessment Services
Inferred from a shared address, not stated in the registry.

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: 2010-10-18

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