Individual
AUDRA JOHNSON JANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6110 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2549
(605) 328-5800
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC20730
SD
101YM0800X
Mental Health Counselor
Primary
LPC20730
SD
Other
Enumeration date
02/08/2023
Last updated
12/06/2023
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