Individual
KELSEY DUGAN
Active
Individual
KELSEY DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPAT, LCAT, ATR-BC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
221700000X
Art Therapist
10205595
OR
221700000X
Art Therapist
Primary
ATC310
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023701
—
NJ
05
—
1386036812
—
OR
Enumeration date
02/20/2015
Last updated
11/11/2022
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