Organization
INTEGRATED CARE AND CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA BOSSMAN (BILLING)
(605) 660-8627
Entity
Organization
Contact information
Practice address
4948 E 57TH ST, SIOUX FALLS, SD 57108-8705
(605) 306-3050
Mailing address
4948 E 57TH ST, SIOUX FALLS, SD 57108-8705
(605) 306-3050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4744
LCSW-PIP
SD
Enumeration date
04/16/2019
Last updated
06/11/2019
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