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.
Location: 1218 Bluebell Ln, Custer, SD, 57730-2455
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
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1464 | 01 | WY | LPC |
| LPC20921 | 01 | SD | BOARD OF COUNSELORS |
Provider Business Practice Location Address Details
Address
1218 Bluebell Ln
City
State
Zip
57730-2455
Phone Number
605-920-1032
Fax Number
Provider Business Mailing Address Details
Address
1218 Bluebell Ln
City
State
Zip
57730-2455
Phone Number
605-920-1032
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC20921 (South Dakota)
Definition
Definition to come...
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