Individual
DIANNE BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6209 S PINNACLE PL STE 102, SIOUX FALLS, SD 57108-3011
(605) 988-8131
Mailing address
1509 S MONTICELLO AVE, SIOUX FALLS, SD 57106-5126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20175
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20175
LICENSED PROFESSIONAL COUNSELOR
SD
Enumeration date
06/18/2017
Last updated
06/18/2017
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