Individual
MR. ROY CARL CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7401 S BITTERROOT PL STE 303, SIOUX FALLS, SD 57108-1610
(605) 361-8876
(605) 271-0104
Mailing address
7401 S BITTERROOT PL STE 303, SIOUX FALLS, SD 57108-1610
(605) 361-8876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-MH2065
SD
101YM0800X
Mental Health Counselor
Primary
LPCMH2065
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22327
SIOUX VALLEY HEALTH PLAN
SD
05
—
6576550
—
SD
01
—
990241012878
PREFERRED ONE
SD
Enumeration date
04/03/2007
Last updated
02/02/2023
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