Individual
KETTIE ANN TISHER-FARNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MH
Contact information
Practice address
2902 W MAIN ST STE 2, RAPID CITY, SD 57702-8174
(605) 721-8822
(057) 218-9286
Mailing address
2902 W MAIN ST STE 2, RAPID CITY, SD 57702-8174
(605) 721-8822
(605) 721-8928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH30552
SD
Other
Enumeration date
06/18/2020
Last updated
06/10/2025
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