Individual
KELSEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
16201 90TH STREET NW, SUITE 200, OTSEGO, MN 55330
(763) 746-9492
(746) 946-3685
Mailing address
1900 SILVER LAKE ROAD NW, SUITE 110, NEW BRIGHTON, MN 55112
(651) 379-1718
(651) 379-1738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303977
MN
Other
Enumeration date
08/24/2015
Last updated
09/09/2015
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