| Macushla Colleen Kelly, | |
|
4895 Edgewater Dr, Mound, MN 55364-2005 | |
| (612) 308-4309 | |
| Not Available |
| Full Name | Macushla Colleen Kelly |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4895 Edgewater Dr, Mound, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013897834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC00446 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Macushla Colleen Kelly, 4895 Edgewater Dr, Mound, MN 55364-2005 Ph: () - | Macushla Colleen Kelly, 4895 Edgewater Dr, Mound, MN 55364-2005 Ph: (612) 308-4309 |
Melissa Louwagie Patterson, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4400 Enchanted Dr, Mound, MN 55364 Phone: 612-819-4278 | |
Susan Marie Wish Devine, MA, ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5899 Sunnybrook Ln, Mound, MN 55364 Phone: 612-308-1622 | |
Wendy Wright Mattera, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5200 Maywood Rd, Suite 202, Mound, MN 55364 Phone: 952-472-2408 |