Provider Demographics
NPI:1033523170
Name:AREND, KELLE ANN (MA, LMFT, RPT)
Entity Type:Individual
Prefix:
First Name:KELLE
Middle Name:ANN
Last Name:AREND
Suffix:
Gender:F
Credentials:MA, LMFT, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 SETTLERS AVE
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-8382
Mailing Address - Country:US
Mailing Address - Phone:651-705-6525
Mailing Address - Fax:
Practice Address - Street 1:225 2ND ST N STE 105
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-5000
Practice Address - Country:US
Practice Address - Phone:651-705-6525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WI1282-124106H00000X
MN3930106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health