Individual
MRS. KELSEY ANN LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
325 33RD AVE N STE 103, SAINT CLOUD, MN 56303-1929
(320) 253-3715
(320) 252-2567
Mailing address
325 33RD AVE N STE 103, SAINT CLOUD, MN 56303-1929
(320) 253-3715
(320) 252-2567
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1742
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273940100
—
MN
Enumeration date
10/28/2009
Last updated
10/13/2015
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