Individual
KELSEY DIPZINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW, CADC-DP
Contact information
Practice address
2136 W M 32, GAYLORD, MI 49735-9282
(989) 732-1971
Mailing address
2136 W M 32, GAYLORD, MI 49735-9282
(989) 732-1791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6852094180
MI
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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