Individual
JACOB JOHN FOLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
2902 W MAIN ST, RAPID CITY, SD 57702-8132
(605) 721-8822
Mailing address
912 FLORMANN ST, RAPID CITY, SD 57701-5320
(605) 719-9680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC7205
SD
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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