Individual
KELSI HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
815 37TH AVE S, MOORHEAD, MN 56560-5524
(701) 451-4811
(651) 925-0057
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2422
MN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/07/2018
Last updated
06/13/2022
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