Organization
FOUR RIVERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA K. VANDE WEERD LMFT,LPC-MH,QMHP (OWNER/CLINICAL THERAPIST)
(605) 692-6444
Entity
Organization
Contact information
Practice address
922 4TH ST, SUITE A, BROOKINGS, SD 57006-2173
(605) 692-6444
(605) 692-8997
Mailing address
922 4TH ST, SUITE A, BROOKINGS, SD 57006-2173
(605) 692-6444
(605) 692-8997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6575272
—
SD
Enumeration date
06/11/2015
Last updated
06/26/2015
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