Organization
KELSEY LANDIS, MS LMFT LLC
Active
Parent organization
-
Other names
Northwest Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
KELSEY LANDIS MS LMFT (OWNER)
(320) 492-1414
Entity
Organization
Contact information
Practice address
2351 CONNECTICUT AVE S STE 105, SARTELL, MN 56377-2479
(320) 316-0288
Mailing address
2351 CONNECTICUT AVE S STE 105, SARTELL, MN 56377-2479
(320) 316-0288
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1742
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273940100
—
MN
Enumeration date
11/21/2017
Last updated
11/21/2017
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