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MS. MICHELLE MARIE KELLUM LADC
NPI 1801189485
Counselor - Addiction (Substance Use Disorder) in Stillwater, MN

Active since May 16, 2011
11400 JULIANNE AVE N, STILLWATER, MN 55082(651) 426-3300(651) 426-0419 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Michelle Marie Kellum Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MICHELLE MARIE KELLUM LADC (NPI 1801189485) is an individual addiction (substance use disorder) provider in Stillwater, Minnesota, licensed in Minnesota (301823) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1801189485
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MICHELLE MARIE KELLUMCredential: LADC
Location Address11400 JULIANNE AVE NStillwater, MN 55082-9436
Mailing Address11400 Julianne Ave NStillwater, MN 55082-9436 · (651) 426-3300 · Fax (651) 426-0419
Phone(651) 426-3300
Fax(651) 426-0419
Sole ProprietorYes
Enumeration DateMay 16, 2011
✔ NPI 1801189485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 301823
11400 JULIANNE AVE N, Stillwater, MN 55082
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LORI MARIE CARGEN BECKWITH LADC
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (612) 454-2406
CEDAR RIDGE, INC
Substance Abuse Rehabilitation Facility
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (612) 326-7555
MR. MICHAEL J SMITH RPH
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (612) 454-2401
AMBER ROSE HARDTKE LADC
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (612) 454-2076
PATRICIA MILLER MA, LADC
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (651) 426-3300
ASHLEY ANN BECK LADC
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (651) 426-3300
MR. STEVEN ROBERT LEFKOWICH LADC
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (651) 426-3300
STEPHANIE OREEN GILQUIST LADC
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (651) 426-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Kellum's NPI number?

The NPI number for Michelle Kellum is 1801189485. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Michelle Kellum located?

Michelle Kellum practices at 11400 Julianne Ave N, Stillwater, MN 55082. The listed phone number is (651) 426-3300.

What is Michelle Kellum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michelle Kellum was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.