Individual
GREG BROSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2412 S CLIFF AVE, SUITE 100, SIOUX FALLS, SD 57105-4031
(605) 322-4079
(605) 322-4080
Mailing address
PO BOX 5045, ATTN: P.F.S. PROV ENROLLMT, SIOUX FALLS, SD 57117-5045
(605) 322-6428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7152
SD
Other
Enumeration date
04/19/2012
Last updated
03/30/2023
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