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NPI Code Detail

MEDICARE: MS. KELLY L KARELS LMFT

MEDICARE:  MS. KELLY L KARELS  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist4330MN

General Provider Information

NPI Number : 1841568110
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KELLY L KARELS LMFT
Provider Business Mailing Address
First Line : 130 DEMONT AVE E APT 148
Second Line :
City : LITTLE CANADA
State : MN
Zip : 55117-1544
Country : US
Telephone Number : 651-210-9652
Fax Number :
Provider Business Practice Location Address
First Line : 1061 GRAND AVE
Second Line :
City : SAINT PAUL
State : MN
Zip : 55105-3002
Country : US
Telephone Number : 651-210-9652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2011
Last Update Date : 10/13/2023

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Directions to “ MS. KELLY L KARELS LMFT” Practice Location

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