Individual
MRS. DADRA LEI AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
3820 JACKSON BLVD, RAPID CITY, SD 57702-3202
(188) 886-8423
Mailing address
1317 1ST AVE, STURGIS, SD 57785-2754
(605) 210-2404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC7095
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC7095
LPC
SD
Enumeration date
03/08/2010
Last updated
03/08/2010
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