J. GABRIEL MYDLAND

BROOKINGS, SD
NPI1518175025
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: SD  1057)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
DR. J. GABRIEL MYDLAND EDD LPC
928 4TH ST SUITE 6
BROOKINGS, SD 57006-2171
Phone number: 605-691-0463
Mailing Address
DR. J. GABRIEL MYDLAND EDD LPC
120 22ND AVE S PMB 179
BROOKINGS, SD 57006
Phone number: 605-691-0463