Organization
VANESSA IVERSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA IVERSON M.A., LPC (OWNER/THERAPIST)
(605) 670-3104
Entity
Organization
Contact information
Practice address
115 S MAIN AVE, WAGNER, SD 57380-2001
(605) 670-3104
Mailing address
115 S MAIN AVE, WAGNER, SD 57380-2001
(605) 670-3104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
09/22/2020
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