| Wakiyan Peta, LAC | |
|
24276 166th St, Eagle Butte, SD 57625-8141 | |
| (605) 964-0722 | |
| (605) 964-8905 |
| Full Name | Wakiyan Peta |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 24276 166th St, Eagle Butte, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043090822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7051316 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wakiyan Peta, LAC Po Box 83, Lantry, SD 57636-0083 Ph: (605) 200-5052 | Wakiyan Peta, LAC 24276 166th St, Eagle Butte, SD 57625-8141 Ph: (605) 964-0722 |
Ms. Lynn Gillis, M.A., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 24276 166th Se Airport Road, Eagle Butte, SD 57625 Phone: 605-964-0742 | |
Greg Salzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 E Prairie Rd, Eagle Butte, SD 57625 Phone: 605-964-8689 |