Provider Demographics
NPI:1831553338
Name:MCLAUGHLIN, KELSEY (LMFT)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6776 LAKE DR STE 170
Mailing Address - Street 2:
Mailing Address - City:LINO LAKES
Mailing Address - State:MN
Mailing Address - Zip Code:55014-1201
Mailing Address - Country:US
Mailing Address - Phone:515-202-5365
Mailing Address - Fax:763-444-1765
Practice Address - Street 1:6776 LAKE DR STE 170
Practice Address - Street 2:
Practice Address - City:LINO LAKES
Practice Address - State:MN
Practice Address - Zip Code:55014-1201
Practice Address - Country:US
Practice Address - Phone:763-291-5505
Practice Address - Fax:763-444-1765
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health