Kelly Flattum, LADC Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · New Brighton, MN
- NPI
- 1093157471
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 301614 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-07-25
- Last updated
- 2013-07-25
Practice location
1900 Silver Lake Rd Nw, Suite 110
New Brighton, MN 55112-1786
(651) 628-9566