Individual
ILYANI LENA ABOUREZK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCMH, QMHP NCC
Contact information
Practice address
2020 W OMAHA ST, RAPID CITY, SD 57702-8061
(605) 863-2881
(605) 342-5170
Mailing address
2020 W OMAHA ST, RAPID CITY, SD 57702-8061
(605) 863-2881
(605) 342-5170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCMH2276
SD
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/08/2013
Last updated
07/02/2019
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