Individual
JACOB DAVID SEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-MH
Contact information
Practice address
731 SAINT JOSEPH ST STE 205, RAPID CITY, SD 57701-2778
(605) 721-0200
(605) 721-0165
Mailing address
731 SAINT JOSEPH ST STE 205, RAPID CITY, SD 57701-2778
(605) 721-0200
(605) 721-0165
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-MH20319
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013890
—
SD
Enumeration date
02/20/2014
Last updated
10/15/2021
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