Organization
PRACTICAL CHRISTIAN COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCOTT WILEY LPC-MH-SUPV (COUNSELOR/OWNER)
(605) 484-7089
Entity
Organization
Contact information
Practice address
1351 JOLLY LN, RAPID CITY, SD 57703-4763
(605) 484-7089
Mailing address
4951 HANSEN LN, RAPID CITY, SD 57703-0147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
7059
SD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/18/2018
Last updated
06/20/2019
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