MS. Kelly Summers, LADC
NPI #1912217480 in Spring Lake Park, Minnesota
Provider Information
- NPI Number
- 1912217480
- Entity Type
- Individual
- Name
- MS. Kelly Summers, LADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC
- Enumeration Date
- Oct 18, 2010
- Last Updated
- Oct 18, 2010
Practice Location
- Address
- 950 COUNTY HIGHWAY 10
- Address 2
- 108
- City
- Spring Lake Park
- State
- Minnesota
- ZIP Code
- 55432-1253
- Phone
- (763) 355-5092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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