Individual
JANELLE FITZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ACT, CTP
Contact information
Practice address
904 E 5TH ST, CANTON, SD 57013-1923
(605) 553-2152
Mailing address
904 E 5TH ST, CANTON, SD 57013-1923
(605) 553-2152
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20841
SD
101YA0400X
Addiction (Substance Use Disorder) Counselor
8478
SD
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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