Individual
MRS. KIMBERLY J COURNOYER-BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
4105 S CARNEGIE PL, SIOUX FALLS, SD 57106-2360
(605) 323-2345
(605) 323-2822
Mailing address
4105 S CARNEGIE PL, SIOUX FALLS, SD 57106-2360
(605) 323-2345
(605) 323-2822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCMH2106
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6575820
—
SD
Enumeration date
10/27/2005
Last updated
06/21/2022
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