Miss Kelly Pertzsch
Professional Counselor
2265 Como Ave
Saint Paul
, Minnesota 55108-1737
Miss Kelly Pertzsch
Professional Counselor
2265 Como Ave
Saint Paul
, Minnesota 55108-1737
(651) 379-6141
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Miss Kelly Pertzsch
- 2265 Como Ave
- Saint Paul, MN
- Zip : 55108-1737
- Fax : (651) 379-6141
- Phone : (651) 645-5325
Second Address
- Miss Kelly Pertzsch
- 2265 Como Ave
- Saint Paul, MN
- Zip : 55108-1737
- Fax : (651) 379-6141
- Phone : (651) 645-5325
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | CC01345 | MN |
National Provider Identifier
| NPI | 1003281106 |
|---|---|
| Provider Name | Miss Kelly Pertzsch |
| First Address | Saint Paul, MN 55108-1737 |
| Second Address | Saint Paul, MN 55108-1737 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2015 |
| Last Update Date | 23/11/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.