Individual
MR. DAN A WIEBE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1010 9TH ST, SUITE 2A, RAPID CITY, SD 57701-3523
(605) 348-6813
Mailing address
5285 MERCURY DR, RAPID CITY, SD 57703-6791
(605) 348-6813
(605) 224-5196
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
553
SD
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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