Individual
MRS. GERTRUDE BOITUMELO MAKGABENYANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CLINICAL MENTAL
Contact information
Practice address
123 19TH ST NE, WATERTOWN, SD 57201
(605) 886-0123
(605) 886-5447
Mailing address
8790 F ST, OMAHA, NE 68127-1524
(531) 444-9861
(605) 886-5447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12537
NE
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013613322
NPI
—
05
—
5200010
—
SD
Enumeration date
08/21/2007
Last updated
02/17/2026
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