Individual
MAHALA BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, QMHP
Contact information
Practice address
1575 N LACROSSE ST, SUITE H, RAPID CITY, SD 57701-6976
(605) 431-4106
Mailing address
1575 N LACROSSE ST, SUITE H, RAPID CITY, SD 57701-6976
(605) 431-4106
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
04/13/2016
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