Individual
DIANA LYNN KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-5415
Contact information
Practice address
610 W HUBBARD ST STE 128, COEUR D ALENE, ID 83814-2286
(208) 661-6190
(888) 655-0780
Mailing address
PO BOX 2368, POST FALLS, ID 83877-2368
(208) 661-6190
(888) 655-0780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-5415
ID
101YM0800X
Mental Health Counselor
LPC-4187
ID
Other
Enumeration date
09/18/2009
Last updated
06/27/2023
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