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Individual

MS. PAMELA A BARICKMAN SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-MH

Contact information

Practice address
809 SOUTH ST., SUITE 201, RAPID CITY, SD 57701
(605) 391-3482
(605) 342-8144
Mailing address
809 SOUTH ST., SUITE 201, RAPID CITY, SD 57701
(605) 391-3482
(605) 342-8144

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-MH2104
SD
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
264181507
TAX ID #
SD
05
6575760
SD
Enumeration date
06/23/2006
Last updated
11/01/2016
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