Individual
MR. PATRICK POITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, QMHP
Contact information
Practice address
11 EAST 4TH ST, LEMMON, SD 57645
(605) 823-4212
(605) 823-4212
Mailing address
PO BOX 447, 11 EAST 4TH STREET, LEMMON, SD 57638-0447
(605) 374-3862
(605) 374-3864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 1167
SD
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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