Individual
AMANDA VAN KALSBEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LPCMH,LIMHP,LMHC
Contact information
Practice address
225 N CLIFF AVE STE 4, HARRISBURG, SD 57032-2524
(605) 610-9094
Mailing address
225 N CLIFF AVE STE 4, HARRISBURG, SD 57032-2524
(605) 610-9094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
085417
IA
101YP2500X
Professional Counselor
2482
NE
101YP2500X
Professional Counselor
Primary
30937
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027572600
—
NE
Enumeration date
04/10/2017
Last updated
11/05/2024
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