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Jeff Wahl
Mental Health Counselor in Rapid City, South Dakota
NPI 1518185024

Jeff Wahl is a Mental Health Counselor based in Rapid City, SD and is specialized in Mental Health. Jeff Wahl practices in Rapid City, SD. The NPI Number for Jeff Wahl is 1518185024 and holds a License No. LPC-MH20339 (South Dakota).

The current practice location address for Jeff Wahl is 1719 W Main St, Rapid City, SD and can be reached out via phone at 605-430-2288.

Location: 1719 W Main St, Rapid City, SD, 57702-4821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518185024
Provider Name
Jeff Wahl
Credential
Provider Entity Type
Individual
Gender
Male
Address
1719 W Main St, Rapid City, SD, 57702-4821
Phone Number
605-430-2288
Fax Number
Provider Enumeration Date
04/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1719 W Main St
City
Rapid City
State
South Dakota
Zip
57702-2564
Phone Number
605-430-2288
Fax Number
person
Provider Business Mailing Address Details
Address
1719 W Main St
City
Rapid City
State
South Dakota
Zip
57702-2564
Phone Number
605-430-2288
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC-MH20339 (South Dakota)
Definition
Definition to come...
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