Individual
KELSEY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 9TH ST STE 2, RAPID CITY, SD 57701-3782
(605) 716-6555
Mailing address
1010 9TH ST STE 2, RAPID CITY, SD 57701-3782
(605) 716-6555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14031653
SD
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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