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Individual

ELLEN OPPOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC-MH, QMHP

Contact information

Practice address
317 N HERITAGE AVE, TEA, SD 57064-2539
(605) 494-1500
Mailing address
317 N HERITAGE AVE, TEA, SD 57064-2539
(605) 494-1500

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-MH30624
SD
101YM0800X
Mental Health Counselor
Primary
LPC20556
SD

Other

Enumeration date
06/04/2020
Last updated
01/03/2024
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