| Individual And Family Counseling | |
|
2650 Jackson Blvd # 198 Rapid City SD 57702-3474 | |
| (605) 484-5294 | |
| Not Available |
| Full Name | Individual And Family Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2650 Jackson Blvd # 198, Rapid City, South Dakota |
| Authorized Official Name and Position | James Simpson (PROVIDER) |
| Authorized Official Contact | 6054845294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Individual And Family Counseling 2650 Jackson Blvd # 198 Rapid City SD 57702-3474 Ph: () - | Individual And Family Counseling 2650 Jackson Blvd # 198 Rapid City SD 57702-3474 Ph: (605) 484-5294 |
| NPI Number | 1184151946 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184151946 | NPI | - | NPPES |
| 1902886658 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-MH2002 (South Dakota) | Primary |
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