JODI DIONNE BOURNE

PINE RIDGE, SD
NPI1144494949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: SD  LPC-MH2146)
Enumeration Date2008-04-14
Last Update Date2008-04-14
Business Address
-- JODI DIONNE BOURNE LPC-MH
EAST HWY 18
PINE RIDGE, SD 57770
Phone number: 605-867-3062
Mailing Address
-- JODI DIONNE BOURNE LPC-MH
EAST HWY 18 PO BOX 1201
PINE RIDGE, SD 57770
Phone number: 605-867-3062