Individual
KELSEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC, LPCC
Contact information
Practice address
604 1ST ST, PRINCETON, MN 55371-1611
(763) 412-1700
(763) 324-8181
Mailing address
401 1ST ST STE B104, PRINCETON, MN 55371-1678
(612) 868-1696
(763) 412-1700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302306
MN
101YM0800X
Mental Health Counselor
Primary
CC01560
MN
Other
Enumeration date
03/26/2008
Last updated
01/30/2024
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