Individual
MS. ANDREA KATHERINE MEDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3801 S KIWANIS AVE, SUITE 5, SIOUX FALLS, SD 57105-4200
(605) 323-8001
Mailing address
3801 S KIWANIS AVE, SUITE 5, SIOUX FALLS, SD 57105-4200
(605) 323-8001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC7175
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC7175
LPC
SD
Enumeration date
05/26/2011
Last updated
12/31/2014
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