Individual
MS. BARBARA SHOUP ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC, NCC
Contact information
Practice address
110 W MISSOURI AVE, PIERRE, SD 57501-4506
(605) 222-3841
(605) 734-8070
Mailing address
PO BOX 128, FORT PIERRE, SD 57532-0128
(605) 223-9716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
98111026
SD
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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