Kelsey Lange, LADC LPCC

NPI #1922736750 in Little Canada, Minnesota

Provider Information

NPI Number: 1922736750
Entity Type: Individual
Name: Kelsey Lange, LADC LPCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC LPCC
Enumeration Date: Aug 10, 2022
Last Updated: Nov 29, 2023

Practice Location

Address: 2400 SUNRISE DR
City: Little Canada
State: Minnesota
ZIP Code: 55117-1661
Phone: (651) 440-1561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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