KELSEY ELIEL MARTIN-LARMOUTH

SAINT PAUL, MN
NPI1275131963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  305631)
Enumeration Date2020-10-14
Last Update Date2020-10-14
Business Address
KELSEY ELIEL MARTIN-LARMOUTH
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104-4125
Phone number: 651-404-2133
Mailing Address
KELSEY ELIEL MARTIN-LARMOUTH
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104-4125
Phone number: 651-404-2133