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7405 S Bitterroot Pl Ste 115 Sioux Falls SD 57108-1603 | |
| (605) 880-6675 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7405 S Bitterroot Pl Ste 115, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Kristina Susan Kaye Miller (COUNSELOR) |
| Authorized Official Contact | 6058806675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7405 S Bitterroot Pl Ste 115 Sioux Falls SD 57108-1603 Ph: (605) 880-6675 | 7405 S Bitterroot Pl Ste 115 Sioux Falls SD 57108-1603 Ph: (605) 880-6675 |
| NPI Number | 1619619285 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 05/19/2024 |
| Certification Date | 05/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619619285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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