Individual
KELSI ROSSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
22063 ETHAN AVE, FOREST LAKE, MN 55025-5506
(651) 231-8827
Mailing address
22063 ETHAN AVE, FOREST LAKE, MN 55025-5506
(651) 231-8827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304036
MN
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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