Organization
JOURNEY FOR CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF WAHL (OWNER)
(605) 519-8027
Entity
Organization
Contact information
Practice address
1719 W MAIN ST, RAPID CITY, SD 57702-2564
(605) 519-8027
Mailing address
3514 POWDERHORN CIR, RAPID CITY, SD 57702-4888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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