Kelly, Joanna

Kelly, Joanna is an sole proprietor health care provider with primary practice located at 12805 Hwy 55 Ste 216 , Plymouth MN 55441-3859. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Kelly, Joanna can be contacted via phone (612) 440-1450.

Contact Information

Primary practice address
12805 Hwy 55 Ste 216 Plymouth MN 55441-3859
Phone: (612) 440-1450
Fax: (612) 524-5563
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3192 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3192 Minnesota

Profile Details

NPI number 1740654888
LBN Legal business name Kelly, Joanna
Credentials M.A., LMFT, RPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2015
Last updated Oct 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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