| Katie Nicole Wieczorek, LPC-MH, QMHP | |
|
712 S Sanborn Blvd Ste 9, Mitchell, SD 57301-3902 | |
| (605) 674-3797 | |
| Not Available |
| Full Name | Katie Nicole Wieczorek |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 712 S Sanborn Blvd Ste 9, Mitchell, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184349839 | NPI | - | NPPES |
| 30826 | Other | SD | LPC-MH |
| QMHP | Other | SD | STATE QMHP CERTIFICATE |
| 20535 | Other | SD | STATE LICENSE - LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 30826 (South Dakota) | Primary |
| 101YM0800X | Counselor - Mental Health | QMHP (South Dakota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Nicole Wieczorek, LPC-MH, QMHP 712 S Sanborn Blvd, Ste 9 Pmb#6143, Mitchell, SD 57301-3902 Ph: (605) 674-3797 | Katie Nicole Wieczorek, LPC-MH, QMHP 712 S Sanborn Blvd Ste 9, Mitchell, SD 57301-3902 Ph: (605) 674-3797 |
Linda Marie Cimpl, MS,NCC,LPC-MH Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E Havens Ave Ste 105, Mitchell, SD 57301 Phone: 605-999-6162 Fax: 605-942-7300 | |
Jason Ellwein, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 W Havens Ave, Mitchell, SD 57301 Phone: 605-996-9686 | |
Donna Aldridge, LPC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 W Havens Ave, Mitchell, SD 57301 Phone: 605-996-9686 | |
Kimberly L Lienemann, LIMHP NE; LPC-MH SD Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 N Lawler St, Mitchell, SD 57301 Phone: 605-444-7500 | |
Linda L Logan, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E Havens Ave, Suite 107, Mitchell, SD 57301 Phone: 605-999-6162 Fax: 605-942-7300 | |
Jonathan Jay Busch, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 1130 S Burr St Ste 200, Mitchell, SD 57301 Phone: 605-990-6500 |