Kelsey Dale, LADC

NPI #1932730652 in Bayport, Minnesota

Provider Information

NPI Number: 1932730652
Entity Type: Individual
Name: Kelsey Dale, LADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Jan 31, 2020
Last Updated: Jan 31, 2020

Practice Location

Address: 391 4TH AVE S
City: Bayport
State: Minnesota
ZIP Code: 55003-1465
Phone: (320) 522-1582

Specialties & Taxonomy Codes

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

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