# RED LION THERAPY & CONSULTATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376415935
- **Authorized official:** MRS. KELLY MARIE ANDERSEN MS LPCC LADC (OWNER, CEO)
- **Authorized official phone:** (320) 245-7018

## Contact information

- **Practice address:** 119 4TH ST STE 204, SANDSTONE, MN 55072-2209
- **Practice address phone:** (320) 245-7018
- **Practice address fax:** (320) 262-7076
- **Mailing address:** PO BOX 26, SANDSTONE, MN 55072-0026
- **Mailing address phone:** (320) 245-7018
- **Mailing address fax:** (320) 262-7076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2025
- **Last updated:** 09/22/2025
