| Amanda Carter-boomsma | |
|
100 S Maple Ste 204 Watertown SD 57201-3772 | |
| (605) 450-5490 | |
| Not Available |
| Full Name | Amanda Carter-boomsma |
|---|---|
| Speciality | Counselor |
| Location | 100 S Maple Ste 204, Watertown, South Dakota |
| Authorized Official Name and Position | Amanda Carter-boomsma (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 6054601112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Carter-boomsma 412 Ash St Frankfort SD 57440-2112 Ph: () - | Amanda Carter-boomsma 100 S Maple Ste 204 Watertown SD 57201-3772 Ph: (605) 450-5490 |
| NPI Number | 1992167951 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 03/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992167951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPCMH2229 (South Dakota) | Primary |
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