Individual
KELSEY ELAINE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
18336 JOPLIN ST NW, ELK RIVER, MN 55330-1773
(320) 761-7009
Mailing address
1784 134TH LN NW, ANDOVER, MN 55304-7629
(320) 761-7009
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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