# GRANUM COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831912146
- **Authorized official:** DEREK GRANUM CSW-PIP, QMHP (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (605) 774-2204

## Contact information

- **Practice address:** 5515 E 18TH STREET, SUITE 130, SIOUX FALLS, SD 57110
- **Practice address phone:** (605) 774-2204
- **Mailing address:** 7808 E MARANA ST, SIOUX FALLS, SD 57110-6455
- **Mailing address phone:** (605) 774-2204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2024
- **Last updated:** 11/05/2024