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Gypsy Petz
Counselor in Custer, South Dakota
NPI 1427517507

Gypsy Petz is a Counselor based in Custer, SD. Gypsy Petz practices in Custer, SD. The NPI Number for Gypsy Petz is 1427517507 and holds a License No. LPC20921 (South Dakota).

The current practice location address for Gypsy Petz is 1218 Bluebell Ln, Custer, SD and can be reached out via phone at 605-920-1032. You can also correspond with Gypsy Petz through the mailing address at 1218 BLUEBELL LN, CUSTER, SD - 57730-2455 (mailing address contact number: 605-920-1032).

Location: 1218 Bluebell Ln, Custer, SD, 57730-2455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427517507
Provider Name
Gypsy Petz
Credential
Provider Entity Type
Individual
Gender
Female
Address
1218 Bluebell Ln, Custer, SD, 57730-2455
Phone Number
605-920-1032
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1464 01 WY LPC
LPC20921 01 SD BOARD OF COUNSELORS
institution
Provider Business Practice Location Address Details
Address
1218 Bluebell Ln
City
Custer
State
South Dakota
Zip
57730-2455
Phone Number
605-920-1032
Fax Number
person
Provider Business Mailing Address Details
Address
1218 Bluebell Ln
City
Custer
State
South Dakota
Zip
57730-2455
Phone Number
605-920-1032
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1464 (Wyoming)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC20921 (South Dakota)
Definition
Definition to come...
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