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
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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