Individual
RANDEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 FLORMANN ST, RAPID CITY, SD 57701-5469
(605) 340-1234
Mailing address
625 FLORMANN ST, RAPID CITY, SD 57701-5469
(605) 340-1234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16091729
SD
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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