KETTIE ANN TISHER FARNAM

RAPID CITY, SD
NPI1942826631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: SD  LPC-MH30552)
Enumeration Date2020-06-18
Last Update Date2024-11-20
Business Address
KETTIE ANN TISHER FARNAM LPC-MH
2902 W MAIN ST STE 2
RAPID CITY, SD 57702-8174
Phone number: 605-721-8822
Mailing Address
KETTIE ANN TISHER FARNAM LPC-MH
2902 W MAIN ST STE 2
RAPID CITY, SD 57702-8174
Phone number: 605-721-8822