person
Wakiyan Peta, LAC
Addiction (Substance Use Disorder) Counselor in Eagle Butte, South Dakota
NPI 1043090822

Wakiyan Peta is an Addiction (Substance Use Disorder) Counselor based in Lantry, SD and is specialized in Addiction (Substance Use Disorder). Wakiyan Peta practices in Eagle Butte, SD and has the professional credentials of LAC. The NPI Number for Wakiyan Peta is 1043090822 and holds a License No. 7051316 (South Dakota).

The current practice location address for Wakiyan Peta is 24276 166Th St, Eagle Butte, SD and can be reached out via phone at 605-964-0722 and via fax at 605-964-8905.

Location: 24276 166Th St, Eagle Butte, SD, 57636-0083
person
Provider Profile Details
NPI Number
1043090822
Provider Name
Wakiyan Peta
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
24276 166Th St, Eagle Butte, SD, 57636-0083
Phone Number
605-964-0722
Fax Number
605-964-8905
Provider Enumeration Date
09/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24276 166Th St
City
State
Zip
57625-8141
Phone Number
605-964-0722
Fax Number
605-964-8905
person
Provider Business Mailing Address Details
Address
24276 166Th St
City
State
Zip
57625-8141
Phone Number
605-964-0722
Fax Number
605-964-8905
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7051316 (South Dakota)
Definition
Definition to come...
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