Organization
WILLOW PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN KANT (MEMBER)
(605) 483-3636
Entity
Organization
Contact information
Practice address
122 S PHILLIPS AVE, SUITE 200, SIOUX FALLS, SD 57104-6717
(605) 332-5298
(605) 332-5280
Mailing address
122 S PHILLIPS AVE, SUITE 200, SIOUX FALLS, SD 57104-6717
(605) 332-5298
(605) 332-5280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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