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Individual

DIANNE LESLIE NIELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, NCC, LPC-S

Contact information

Practice address
1108 W CEDAR ST STE 5B, BERESFORD, SD 57004-1001
(605) 215-1029
Mailing address
420 S HENRY ST, PIERRE, SD 57501-4515
(605) 494-1500
(605) 494-1501

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21075
SD

Other

Enumeration date
06/24/2025
Last updated
06/24/2025
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