Provider Demographics
NPI:1821125824
Name:SEMLER, KELLY LIGGETT (LMFT)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:LIGGETT
Last Name:SEMLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 ASBURY ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-1849
Mailing Address - Country:US
Mailing Address - Phone:651-308-0023
Mailing Address - Fax:205-855-6116
Practice Address - Street 1:570 ASBURY ST
Practice Address - Street 2:SUITE 206
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-1849
Practice Address - Country:US
Practice Address - Phone:651-308-0023
Practice Address - Fax:205-855-6116
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1342106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist