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Individual

MATTHEW E WOLTHUIZEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPCMH, NCC, QMHP

Contact information

Practice address
3805 S KIWANIS CIR STE 101, SIOUX FALLS, SD 57105-4266
(605) 663-4600
(605) 663-4663
Mailing address
3805 S KIWANIS CIR STE 101, SIOUX FALLS, SD 57105-4266
(605) 663-4600
(605) 663-4663

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-MH2203
SD
101YM0800X
Mental Health Counselor
Primary
2203
SD

Other

Enumeration date
11/21/2007
Last updated
05/13/2024
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