Individual
KARIN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 W. ILLINOIS ST., STE A, SPEARFISH, SD 57783
(605) 722-8090
(605) 722-8090
Mailing address
42 LINCOLN AVE, DEADWOOD, SD 57732-1453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
534
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4996117
BLUE CROSS/BLUE SHIELD
SD
Enumeration date
04/22/2007
Last updated
08/18/2009
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