| Kelly Ann Villa, | |
|
114 Minnesota St. Sandstone, Mn 55072, Sandstone, MN 55072-5028 | |
| (218) 380-2551 | |
| (218) 520-3913 |
| Full Name | Kelly Ann Villa |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 114 Minnesota St. Sandstone, Mn 55072, Sandstone, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174472328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 303304 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ann Villa, 721 Highway 23 N, Sandstone, MN 55072-5028 Ph: (218) 481-5546 | Kelly Ann Villa, 114 Minnesota St. Sandstone, Mn 55072, Sandstone, MN 55072-5028 Ph: (218) 380-2551 |
Julie Lois Bjerke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Commercial Ave N, Sandstone, MN 55072 Phone: 320-245-9966 | |
Mrs. Jacqueline R Warman, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Commercial Ave N, Sandstone, MN 55072 Phone: 320-245-9966 | |
Mr. Kenneth Neil Mcdonnell Jr., LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Commercial Ave N, Sandstone, MN 55072 Phone: 320-245-9966 Fax: 651-408-7131 | |
Kasey L Wilson, ADC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Commercial Ave N, Sandstone, MN 55072 Phone: 320-245-9966 |