| Positive Directions Counseling, Inc | |
|
549 Mount Rushmore Rd Ste 1 Custer SD 57730-1531 | |
| (605) 440-2059 | |
| Not Available |
| Full Name | Positive Directions Counseling, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 549 Mount Rushmore Rd Ste 1, Custer, South Dakota |
| Authorized Official Name and Position | Roxanne R Domek (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 6054402059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Directions Counseling, Inc Po Box 382 Custer SD 57730-0382 Ph: (605) 440-2059 | Positive Directions Counseling, Inc 549 Mount Rushmore Rd Ste 1 Custer SD 57730-1531 Ph: (605) 440-2059 |
| NPI Number | 1841568854 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841568854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-MH2193 (South Dakota) | Primary |
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