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Individual

MRS. JODI ANNE MERRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-MH, LAC

Contact information

Practice address
4300 S LOUISE AVE, SUITE 201, SIOUX FALLS, SD 57106-3144
(605) 334-7713
(605) 334-5348
Mailing address
4300 S LOUISE AVE, SUITE 201, SIOUX FALLS, SD 57106-3144
(605) 334-7713

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13071595
SD
101YM0800X
Mental Health Counselor
Primary
LPC-MH20281
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6575260
SD
Enumeration date
06/12/2014
Last updated
11/17/2021
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