Individual
CARISSA ANN PALMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LAC
Contact information
Practice address
48261 268TH ST, BRANDON, SD 57005-8501
(605) 951-6267
Mailing address
48261 268TH ST, BRANDON, SD 57005-8501
(605) 951-6267
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC7276
SD
Other
Enumeration date
09/12/2013
Last updated
09/03/2016
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