Tasha Jeanmarie Kelly, LAC

NPI #1972309086 in Arnegard, North Dakota

Provider Information

NPI Number
1972309086
Entity Type
Individual
Name
Tasha Jeanmarie Kelly, LAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LAC
Enumeration Date
Feb 20, 2025
Last Updated
Feb 20, 2025

Practice Location

Address
2126 VISTA AVE
ZIP Code
58835
Phone
(701) 586-3300

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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