Individual provider · Type 1 NPI

Kailly Allyce Bonnett, MS LADC LPCC

Mental Health Counselor · St. Cloud, MN

NPI number 1154852309 Active

Practice location

911 18th St N
St. Cloud, MN 56303-1203

Mailing address

126 17th Street Ct
Sauk Rapids, MN 56379-2754

Other practice locations

  • 1326 E Ripley St, Litchfield, MN 55355-4525 · (320) 593-0440

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X01951 (MN)
Addiction (Substance Use Disorder) Counselor 101YA0400X304645 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1154852309

Kailly Allyce Bonnett, MS LADC LPCC's National Provider Identifier is 1154852309, issued on Mar 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Cloud, MN. The record was last updated on Feb 24, 2020.