Individual
KRISTINE M DEJAEGHERE-TILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2528 S CENTER AVE, SIOUX FALLS, SD 57105-4814
(605) 881-8740
Mailing address
2528 S CENTER AVE, SIOUX FALLS, SD 57105-4814
(605) 881-8740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC20577
SD
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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