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Individual
MR. ROY CARL CONRAD
Active
Individual
MR. ROY CARL CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-MH2065
SD
101YM0800X
Mental Health Counselor
Primary
LPCMH2065
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22327
SIOUX VALLEY HEALTH PLAN
SD
05
—
6576550
—
SD
01
—
990241012878
PREFERRED ONE
SD
Enumeration date
04/03/2007
Last updated
02/02/2023
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