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Individual

MS. TARA L. JORGENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,LPC,QMHP

Contact information

Practice address
11 4TH ST E, LEMMON, SD 57638-1524
(605) 374-3862
(605) 374-3864
Mailing address
PO BOX 447, 11 EAST 4TH STREET, LEMMON, SD 57638-0447
(605) 374-3862
(605) 374-3864

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
552-1-01-06
ND
101YM0800X
Mental Health Counselor
Primary
LPC1183
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841355039
NPI # APPLIED IN ND
SD
05
54523
ND
Enumeration date
12/27/2006
Last updated
09/11/2025
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