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Individual

BOYD A BRISTOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC-MH,QMHP,LMFT,MA

Contact information

Practice address
523 N DULUTH AVE, SIOUX FALLS, SD 57104-2714
(605) 988-3775
(605) 988-3747
Mailing address
523 N DULUTH AVE, SIOUX FALLS, SD 57104-2714
(605) 988-3775
(605) 988-3747

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-MH 2052
SD
106H00000X
Marriage & Family Therapist
Primary
LMFT 1170
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4998932
BCBS
SD
05
6575340
SD
Enumeration date
10/27/2006
Last updated
09/11/2025
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