Kelsey Anderson, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Otsego, MN
NPI 1487021671 · NPPES record last updated Sep 9, 2015
Key facts
- NPI
- 1487021671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 303977 (MN)
- Practice address
- 16201 90TH Street NW, Suite 200
Otsego, MN 55330 - Phone
- (763) 746-9492
- Fax
- (746) 946-3685
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303977 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303977 | MN | Yes |
Addresses
Primary practice location
16201 90TH Street NW, Suite 200
Otsego, MN 55330
Mailing address
1900 Silver Lake Road NW
Suite 110
New Brighton, MN 55112
Phone (651) 379-1718
Other providers in Otsego, MN
- Alpha Home Healthcare LLC
- Michaela Ann Althaus
- Amazing Service LLC
- Rita Andik Anang
- Judith M Anderson
- Kristin Marie Anderson
- Kurt David Anderson
- Nicole Catherine Anderson
- Pamela Jean Anderson
- Zachary Peter Arntson
All providers in Otsego, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.