| Kelly Walters, MS, LMFT | |
|
101 Dehler Dr, Sartell, MN 56377-4407 | |
| (320) 253-3512 | |
| (320) 253-1037 |
| Full Name | Kelly Walters |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 101 Dehler Dr, Sartell, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336616226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 3421 (Minnesota) | Primary |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Walters, MS, LMFT Po Box 667, Brainerd, MN 56401-0667 Ph: (218) 828-2027 | Kelly Walters, MS, LMFT 101 Dehler Dr, Sartell, MN 56377-4407 Ph: (320) 253-3512 |
Pamela Doreen Becker, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 2351 Connecticut Ave S Ste 105, Sartell, MN 56377 Phone: 320-316-0288 | |
Rachel Lynn Bauer, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 303 4th Ave S Ste A, Sartell, MN 56377 Phone: 320-406-1516 | |
Ashley K Monson, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 110 14th Ave E, Sartell, MN 56377 Phone: 320-202-1400 | |
Katherine Ann Webster, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 14th Ave E, Sartell, MN 56377 Phone: 320-202-1400 Fax: 320-202-8662 | |
Noel Kern, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 110 14th Ave E, Sartell, MN 56377 Phone: 320-202-1400 Fax: 320-202-8662 | |
Jessica Margaret Parks, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512 Fax: 320-253-1037 |