Organization
PATHWAYS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIMEE PETERSON CSW-PIP (CLINICAL SOCIAL WORKER)
(605) 215-4364
Entity
Organization
Contact information
Practice address
1601 E 69TH ST STE 206, SIOUX FALLS, SD 57108-8322
(605) 215-4364
Mailing address
1601 E 69TH ST STE 206, SIOUX FALLS, SD 57108-8322
(605) 215-4364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164086450
—
SD
05
—
1477179919
—
SD
05
—
1528569001
—
SD
Enumeration date
06/21/2020
Last updated
10/15/2020
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