MACUSHLA KELLY
Counselor - Professional
Active
Individual
NPI: 1013897834
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | CC00446 (MN) |
Frequently Asked Questions
NPI 1013897834 is the National Provider Identifier for MACUSHLA KELLY, a Counselor - Professional provider located in Mound, MN. This NPI was enumerated on September 3, 2025.
MACUSHLA KELLY practices at 4895 EDGEWATER DR, Mound, MN 55364.
Quick Facts
- NPI
- 1013897834
- Type
- Individual
- Enumerated
- Sep 3, 2025
- Last Updated
- Sep 3, 2025
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