Doctor Name: | KELLE ANN AREND |
NPI Number: | 1033523170 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 6303 Osgood Ave N Stillwater, MN - 550826101 |
Business Phone Number: | 6513834800 |
Business Fax Number: | 6513834801 |
Mailing Address: | 6303 Osgood Ave N, STILLWATER |
State: | MN |
Postal Code: | 550826101 |
Phone Number: | 6513834800 |
Fax Number: | 6513834801 |
NPI Enumeration Date: | 06/17/2014 |
NPI Last Update Date: | 06/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |