Organization
LITTLE CANYON SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE MARIE CLODFELDER LPC-MH (OWNER)
(218) 232-0889
Entity
Organization
Contact information
Practice address
310 S 26TH ST STE 1, SPEARFISH, SD 57783-3355
(605) 580-7358
(605) 559-0321
Mailing address
310 S 26TH ST STE 1, SPEARFISH, SD 57783-3355
(605) 580-7358
(605) 559-0321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
03/07/2024
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