Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 251S00000X | Community/Behavioral Health | | CCDC-III 04011175 | SOUTH DAKOTA | No |
| 2 | 251S00000X | Community/Behavioral Health | | LPC 1037 | SOUTH DAKOTA | Yes |