Individual provider · Type 1 NPI

Michelle Marie Kellum, LADC

Addiction (Substance Use Disorder) Counselor · Stillwater, MN

NPI number 1801189485 Active

Practice location

11400 Julianne Ave N
Stillwater, MN 55082-9436

Fax (651) 426-0419

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301823 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1801189485

Michelle Marie Kellum, LADC's National Provider Identifier is 1801189485, issued on May 16, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stillwater, MN. The record was last updated on May 16, 2011.