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Individual

LUANNA LYNN OLTHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
6809 S MINNESOTA AVE, SUITE 103, SIOUX FALLS, SD 57108-2569
(605) 838-9655
(605) 271-2548
Mailing address
6809 S MINNESOTA AVE, SUITE 103, SIOUX FALLS, SD 57108-2569
(605) 838-9655
(605) 271-2548

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
QMHP
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC9707970
SD
101YM0800X
Mental Health Counselor
Primary
LPCMH2061
SD

Other

Enumeration date
04/24/2008
Last updated
08/31/2015
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