Individual
KELLEY HALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
20 1ST ST SW STE 250, MINOT, ND 58701-3851
(701) 852-3328
(701) 838-2521
Mailing address
1108 34TH AVE SW, MINOT, ND 58701-7250
(701) 818-9223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
809-11-15-14
ND
Other
Enumeration date
02/12/2013
Last updated
10/13/2015
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