Individual
ADAM JOHN WOLTHUIZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC-MH, NCC,QMHP
Contact information
Practice address
3805 S KIWANIS CIR STE 101, SIOUX FALLS, SD 57105-4266
(605) 663-4600
(605) 663-4663
Mailing address
3805 S KIWANIS CIR STE 101, SIOUX FALLS, SD 57105-4266
(605) 663-4600
(605) 663-4663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH20391
SD
101YP2500X
Professional Counselor
LPC20348
SD
Other
Enumeration date
09/06/2017
Last updated
06/13/2022
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