| NPI | 1275953150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILEE KAY JOHNSON-GEARY Mental Health & Addiction Counselor 605-201-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SD LPC-MH2111) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2022-12-27 |