Kelsey Dale, LADC is a
Counselor - Addiction (substance Use Disorder) based in Bayport, Minnesota. Kelsey Dale is licensed to practice in Minnesota (license number 304110) and her current practice location is
391 4th Ave S, Bayport, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 522-1582.
NPI number for Kelsey Dale is 1932730652 and her current mailing address is 391 4th Ave S, Bayport, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932730652.
Healthcare Provider's Profile
| Full Name | Kelsey Dale |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 391 4th Ave S, Bayport, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932730652
- Provider Enumeration Date: 01/31/2020
- Last Update Date: 01/31/2020
Medical Identifiers
Medical identifiers for Kelsey Dale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932730652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304110 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Dale is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelsey Dale, LADC
391 4th Ave S,
Bayport, MN 55003-1465
Ph: (320) 522-1582 | Kelsey Dale, LADC
391 4th Ave S,
Bayport, MN 55003-1465
Ph: (320) 522-1582 |
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