Individual
MS. MARY J EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
2210 S BROWN PL, SIOUX FALLS, SD 57105-6582
(605) 332-1700
(605) 336-9031
Mailing address
2210 S BROWN PL, SIOUX FALLS, SD 57105-6582
(605) 332-1700
(605) 336-9031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
SD
101YP2500X
Professional Counselor
LPC 537
SD
106H00000X
Marriage & Family Therapist
LMFT1015
SD
Other
Enumeration date
08/26/2005
Last updated
03/23/2012
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