Individual
STACEY DAWN BOHLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MH, LAC, LPCC
Contact information
Practice address
707 9TH AVE S, CLEAR LAKE, SD 57226-2150
(605) 237-3701
Mailing address
707 9TH AVE S, CLEAR LAKE, SD 57226-2150
(605) 237-3701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2252
SD
101YM0800X
Mental Health Counselor
Primary
LPC-MH2252
SD
Other
Enumeration date
01/15/2014
Last updated
10/01/2024
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