Individual
MELISSA WIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ACT
Contact information
Practice address
310 S 1ST AVE, SIOUX FALLS, SD 57104-6329
(605) 275-1560
Mailing address
310 S 1ST AVE, SIOUX FALLS, SD 57104-6329
(605) 275-1560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20736
SD
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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