Individual
MR. MICHAEL D WITHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
206 E 3RD ST, DELL RAPIDS, SD 57022-1916
(605) 212-6902
Mailing address
206 E 3RD ST, DELL RAPIDS, SD 57022-1916
(605) 212-6902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-1863
WY
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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