Individual
DANIELLE ROSE BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
4820 POWDERHORN DR, RAPID CITY, SD 57702-4801
(605) 641-3219
Mailing address
4820 POWDERHORN DR, RAPID CITY, SD 57702-4801
(605) 641-3219
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC1060
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC1060
INSURANCE
SD
Enumeration date
09/02/2022
Last updated
09/02/2022
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