Individual
TREVOR MANDERNACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1540 BRANDON DR, VERMILLION, SD 57069-3800
(712) 490-1216
Mailing address
1540 BRANDON DR, VERMILLION, SD 57069-3800
(712) 490-1216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20846
SD
Other
Enumeration date
04/28/2011
Last updated
11/20/2025
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