Individual provider · Type 1 NPI
Kelsey Dale, LADC
Addiction (Substance Use Disorder) Counselor · Bayport, MN
NPI number
1932730652
Active
Practice location
391 4th Ave S
Bayport, MN 55003-1465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 304110 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1932730652
Kelsey Dale, LADC's National Provider Identifier is 1932730652, issued on Jan 31, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bayport, MN. The record was last updated on Jan 31, 2020.