Individual provider · Type 1 NPI

Killy Kitzmann, LADC, LPC-IT

Mental Health Counselor · Eden Prairie, MN

NPI number 1063244952 Active

Practice location

6640 Shady Oak Rd Ste 401
Eden Prairie, MN 55344-7834

Call (715) 256-7166 Map

Fax (888) 427-8048

Mailing address

800 Wilson Ave Rm 330
Menomonie, WI 54751-2746

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X307059 (MN)
Mental Health Counselor Primary 101YM0800X8849-226 (WI)

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About NPI 1063244952

Killy Kitzmann, LADC, LPC-IT's National Provider Identifier is 1063244952, issued on Aug 19, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eden Prairie, MN. The record was last updated on Jan 14, 2026.