Most Relevant Information
Provider Data
| NPI Number: | 1003281106 |
| Provider Name: | KELLY PERTZSCH MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | CC01345 |
Most Important Dates
| Enumeration Date: | 12/01/2015 |
| Last Updated: | 11/23/2016 |
Provider Practice Location
2265 COMO AVE
SAINT PAUL
MN
551081737
Practice Location Phone/Fax
| Phone: | 6516455325 |
| Fax: | 6513796141 |
Provider Mailing Location
2265 COMO AVE
SAINT PAUL
MN
551081737
Provider Mailing Phone/Fax
| Phone: | 6516455325 |
| Fax: | 6513796141 |