Kelly Willmott, LADC

NPI #1780929547 in Prior Lake, Minnesota

Provider Information

NPI Number
1780929547
Entity Type
Individual
Name
Kelly Willmott, LADC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC
Enumeration Date
Dec 5, 2012
Last Updated
Dec 5, 2012

Practice Location

Address
16221 MAIN AVE SE
Address 2
SUITE 102
ZIP Code
55372-1777
Phone
(952) 440-6038

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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