| Knuppe Counseling, Llc | |
|
2650 Jackson Blvd # 11 Rapid City SD 57702-3474 | |
| (605) 390-7055 | |
| Not Available |
| Full Name | Knuppe Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2650 Jackson Blvd # 11, Rapid City, South Dakota |
| Authorized Official Name and Position | Triscell Knuppe (OWNER) |
| Authorized Official Contact | 6053907055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knuppe Counseling, Llc 2650 Jackson Blvd # 11 Rapid City SD 57702-3474 Ph: (605) 390-7055 | Knuppe Counseling, Llc 2650 Jackson Blvd # 11 Rapid City SD 57702-3474 Ph: (605) 390-7055 |
| NPI Number | 1427588532 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 04/13/2020 |
| Certification Date | 04/13/2020 |
| Medicare PECOS PAC ID | 0143590075 |
|---|---|
| Medicare Enrollment ID | O20170725002819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427588532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Triscell Knuppe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437686433 PECOS PAC ID: 1052681988 Enrollment ID: I20170725003052 |
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