Organization
AMANDA CARTER-BOOMSMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CARTER-BOOMSMA LPCMH (MENTAL HEALTH COUNSELOR)
(605) 460-1112
Entity
Organization
Contact information
Practice address
100 S MAPLE STE 204, WATERTOWN, SD 57201-3772
(605) 450-5490
Mailing address
412 ASH ST, FRANKFORT, SD 57440-2112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCMH2229
SD
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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