Individual
HEATHER MAE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 5TH ST, RAPID CITY, SD 57701-6015
(605) 718-1095
Mailing address
3625 5TH ST, RAPID CITY, SD 57701-6015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC20194
SD
Other
Enumeration date
10/07/2020
Last updated
11/27/2023
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