Individual provider · Type 1 NPI
Macushla Colleen Kelly
Professional Counselor · Mound, MN
NPI number
1013897834
Active
Practice location
4895 Edgewater Dr
Mound, MN 55364-2005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CC00446 (MN) |
Professional Counselor: Definition to come...
Other professional counselor providers in Mound
About NPI 1013897834
Macushla Colleen Kelly's National Provider Identifier is 1013897834, issued on Sep 3, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mound, MN. The record was last updated on Sep 3, 2025.