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Individual
KELSEY DAUBERT
Active
Individual
KELSEY DAUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012696
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104105854
—
PA
01
—
15073352
CAQH
—
Enumeration date
12/21/2020
Last updated
06/30/2023
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