Individual
KELSEY KAYE LANG ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501
(701) 328-8888
Mailing address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
605-4-1-08
ND
101YP2500X
Professional Counselor
Primary
605-4-1-08-226
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78021
—
ND
Enumeration date
11/30/2011
Last updated
07/11/2018
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