Organization
WELLSPRING, INC.
Active
Other names
Wellfully
Organization subpart
No
Provider details
NPI number
Authorized official
JOLENE DEETT KRICK (OFFICE MANAGER)
(605) 718-4870
Entity
Organization
Contact information
Practice address
22 WATERLOO ST, RAPID CITY, SD 57701-1656
(605) 718-4870
Mailing address
PO BOX 1087, RAPID CITY, SD 57709-1087
(605) 718-4870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6057184870
—
SD
Enumeration date
12/02/2021
Last updated
12/02/2021
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