NPI 1053034975

Kelly Ann Street

Practitioner Counselor Northfield, MN

Practice location

Address: 41 Fareway Dr, Northfield, MN 55057-2643
Phone: (651) 278-1406

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1053034975
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2022
Record last updated: 26 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.