Organization
POSITIVE DIRECTIONS COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROXANNE R DOMEK LPC-MH (MENTAL HEALTH COUNSELOR)
(605) 440-2059
Entity
Organization
Contact information
Practice address
549 MOUNT RUSHMORE RD STE 1, CUSTER, SD 57730-1531
(605) 440-2059
Mailing address
PO BOX 382, CUSTER, SD 57730-0382
(605) 440-2059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH2193
SD
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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