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Individual

ANGELENA M PLUMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-MH, QMHP

Contact information

Practice address
2810 W FLORMANN ST, RAPID CITY, SD 57702-4233
(605) 484-9294
(605) 415-4418
Mailing address
2810 W FLORMANN ST, RAPID CITY, SD 57702-4233
(605) 484-9294
(605) 415-4418

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-MH20302
SD
101YM0800X
Mental Health Counselor
Primary
LPC-MH20302
SD
101YP2500X
Professional Counselor
LPC-MH20302
SD

Other

Enumeration date
09/30/2017
Last updated
01/24/2022
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