Individual
LINDA MARIE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MH, QMHP
Contact information
Practice address
211 N MAIN ST STE 203, SPEARFISH, SD 57783-2646
(605) 559-2006
(605) 559-0243
Mailing address
211 N MAIN ST STE 203, SPEARFISH, SD 57783-2646
(605) 559-2006
(605) 559-0243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-MH2054
SD
101YP2500X
Professional Counselor
Primary
LPC-MH2054
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5200090
—
SD
Enumeration date
03/16/2007
Last updated
03/21/2019
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