Individual
DONNA MACUMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3 CANYON VIEW CIR, HOT SPRINGS, SD 57747-1700
(605) 745-6222
(605) 745-4930
Mailing address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 343-7293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLAN OF SUPERVISION
SD
101YM0800X
Mental Health Counselor
PMHP - 9585
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9585
PROVISIONAL MENTAL HEALTH PRACTITIONER - LICENSE
NE
Enumeration date
08/25/2009
Last updated
08/28/2013
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