Provider Demographics
NPI:1326830274
Name:USELMAN, ALLISON RAE
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:RAE
Last Name:USELMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57747 COUNTY HIGHWAY 50
Mailing Address - Street 2:
Mailing Address - City:DEER CREEK
Mailing Address - State:MN
Mailing Address - Zip Code:56527-9509
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:211 HOLMES ST W STE 302
Practice Address - Street 2:
Practice Address - City:DETROIT LAKES
Practice Address - State:MN
Practice Address - Zip Code:56501-9905
Practice Address - Country:US
Practice Address - Phone:218-847-0629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health