| Jodi Dionne Bourne, LPC-MH | |
|
East Hwy 18, Pine Ridge, SD 57770 | |
| (605) 867-3062 | |
| Not Available |
| Full Name | Jodi Dionne Bourne |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | East Hwy 18, Pine Ridge, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144494949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-MH2146 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Dionne Bourne, LPC-MH East Hwy 18, Po Box 1201, Pine Ridge, SD 57770 Ph: (605) 867-3062 | Jodi Dionne Bourne, LPC-MH East Hwy 18, Pine Ridge, SD 57770 Ph: (605) 867-3062 |
Ruth L Cedar Face, MAC, CCDC II Counselor Medicare: Not Enrolled in Medicare Practice Location: East Highway 18, Ihs Compound, Pine Ridge, SD 57770 Phone: 605-867-5131 Fax: 605-867-3274 | |
Ms. Marcie Levon Sprague, CSW, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: East Hwy 18, Pine Ridge, SD 57770 Phone: 605-867-3070 | |
Jennifer Rae Arp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 Indian Health Rd, Pine Ridge, SD 57770 Phone: 605-867-3100 | |
Shirley Marie Petersen, LCSW LMHP LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: Highway 18, Pine Ridge Hospital, Pine Ridge, SD 57770 Phone: 605-867-3100 Fax: 605-867-3274 |