Organization
SLATE CREEK COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN RAPP LCSW-PIP (PRESIDENT)
(605) 484-9679
Entity
Organization
Contact information
Practice address
319 COTEAU ST, PIERRE, SD 57501-3187
(605) 220-1093
Mailing address
PO BOX 412, PIERRE, SD 57501-0412
(605) 220-1093
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6571170
—
SD
Enumeration date
03/14/2007
Last updated
12/03/2021
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