Andersen, Kelly

Andersen, Kelly is an sole proprietor health care provider with primary practice located at 645 3Rd Ave Sw , Pine City MN 55063-1443. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Andersen, Kelly can be contacted via phone (320) 237-4227.

Contact Information

Primary practice address
645 3Rd Ave Sw Pine City MN 55063-1443
Phone: (320) 237-4227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1372 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302405 Minnesota

Profile Details

NPI number 1932492907
LBN Legal business name Andersen, Kelly
Credentials LADC, LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2011
Last updated Dec 20th, 2016 - about 10 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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