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Organization

JUNCTION THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE VANZUIDAM MA, LMFT (OWNER)
(605) 215-1102
Entity
Organization

Contact information

Practice address
610 E 7TH ST, PLATTE, SD 57369-2114
(605) 215-1102
Mailing address
27080 379TH AVE, CORSICA, SD 57328-5016
(605) 215-1102

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275223182
SD
Enumeration date
03/01/2024
Last updated
03/01/2024
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