Individual
MS. FAITH ANTOINETTE LAROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NAACT
Contact information
Practice address
12451 HIGHWAY 1806, MOBRIDGE, SD 57601
(605) 845-7181
(605) 845-5072
Mailing address
317 11TH AVE E, MOBRIDGE, SD 57601-2831
(605) 845-7181
(605) 845-5072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0007-06CT
SD
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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