Wakiyan Peta, LAC | |
24276 166th St, Eagle Butte, SD 57625-8141 | |
(605) 964-0722 | |
(605) 964-8905 |
Full Name | Wakiyan Peta |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 24276 166th St, Eagle Butte, South Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043090822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 7051316 (South Dakota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Wakiyan Peta, LAC Po Box 83, Lantry, SD 57636-0083 Ph: (605) 200-5052 | Wakiyan Peta, LAC 24276 166th St, Eagle Butte, SD 57625-8141 Ph: (605) 964-0722 |
Ms. Lynn Gillis, M.A., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 24276 166th Se Airport Road, Eagle Butte, SD 57625 Phone: 605-964-0742 | |
Greg Salzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 E Prairie Rd, Eagle Butte, SD 57625 Phone: 605-964-8689 |