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
- City
- Prior Lake
- State
- Minnesota
- 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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