Kelsey Kaye Lang Anderson, LPCC
Counselor, Professional in Bismarck, ND. Individual provider (NPI-1).
NPI number1205103637
StatusActive
Last updated in NPPESJul 11, 2018
Details
- NPI
- 1205103637
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Kaye Lang Anderson
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2011
- Last updated
- Jul 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 605-4-1-08-226 | – | Yes |
| 101YP2500X | Counselor, Professional | 605-4-1-08 | ND |
Practice location
1237 W Divide Ave Ste 5Bismarck, ND 58501
Phone 701-328-8888
Mailing address
1237 W Divide Ave Ste 5Bismarck, ND 58501-1208
Other practice locations
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