Individual
RICHARD SCOTT WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MH
Contact information
Practice address
4951 HANSEN LN, RAPID CITY, SD 57703-0147
(605) 391-3949
Mailing address
4951 HANSEN LN, RAPID CITY, SD 57703-0147
(605) 391-3949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH30556
SD
101YP2500X
Professional Counselor
LPC7059
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018901
—
SD
Enumeration date
03/08/2016
Last updated
08/13/2021
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