Individual
KAITLYN MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
211 4TH ST, BROOKINGS, SD 57006-1917
(605) 697-2850
Mailing address
2027 1ST ST, BROOKINGS, SD 57006
(605) 490-5188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24031989
SD
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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