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Individual

MRS. LINDA K VANDE WEERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
922 4TH ST, SUITE A, BROOKINGS, SD 57006-2173
(605) 692-6444
(605) 692-8997
Mailing address
922 4TH ST, SUITE A, BROOKINGS, SD 57006-2173
(605) 692-6444
(605) 692-8997

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9804992
SD
101YP2500X
Professional Counselor
Primary
LPC MH 2040
SD
106H00000X
Marriage & Family Therapist
LMFT 1137
163W00000X
Registered Nurse
RO15085
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4997874
BCBS
SD
05
6575272
SD
Enumeration date
02/07/2006
Last updated
06/22/2015
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