Lange, Kelsey
Lange, Kelsey is an sole proprietor health care provider with primary practice located at 2400 Sunrise Dr , Little Canada MN 55117-1661. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Lange, Kelsey can be contacted via phone (651) 440-1561.Contact Information
Primary practice address
2400 Sunrise Dr
Little Canada MN 55117-1661
Phone: (651) 440-1561
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 305331 | Minnesota |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3501 | Minnesota |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CC03501 | Minnesota |
Profile Details
NPI number | 1922736750 |
---|---|
LBN Legal business name | Lange, Kelsey |
Credentials | LADC LPCC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 10th, 2022 |
Last updated | Nov 29th, 2023 - about 2 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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