Individual
MS. EVELYN M LEITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHRLPC
Contact information
Practice address
2650 JACKSON BLVD, CREEKSIDE PLAZA, RAPID CITY, SD 57702-3474
(605) 484-0576
(605) 399-3250
Mailing address
PO BOX 9702, RAPID CITY, SD 57709-9702
(605) 484-0576
(605) 399-3250
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC697
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC697
LICENSED PROFESSIONAL COU
SD
Enumeration date
07/08/2006
Last updated
07/08/2007
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