Individual
KRISTENE RANCOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACT
Contact information
Practice address
1520 HAINES AVE, STE 6, RAPID CITY, SD 57701-0710
(605) 716-7841
(605) 718-0404
Mailing address
1520 HAINES AVE, STE 6, RAPID CITY, SD 57701-0710
(605) 716-7841
(605) 718-0404
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
8636
SD
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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