Individual
KELSEY DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
928 MAIN ST, KEOKUK, IA 52632-4655
(319) 524-4397
(319) 524-8850
Mailing address
1340 MOUNT PLEASANT ST, BURLINGTON, IA 52601-2623
(319) 753-6567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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