Ketelsen, Christine F

Ketelsen, Christine F is an individual health care provider with primary practice located at 624 S 13Th St Range Mental Health Center Inc, Virginia MN 55792. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ketelsen, Christine F can be contacted via phone (218) 749-2881.

Contact Information

Primary practice address
624 S 13Th St Range Mental Health Center Inc Virginia MN 55792
Phone: (218) 749-2881
Fax: (218) 749-3806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1161 Minnesota

Profile Details

NPI number 1427159813
LBN Legal business name Ketelsen, Christine F
Credentials MSW LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427159813 NPPES
Minnesota MEDICAID 689355400

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