| Todd Whetsel Lmft Llc | |
|
1103 Jenson Ave Se Watertown SD 57201-5259 | |
| (918) 406-2512 | |
| Not Available |
| Full Name | Todd Whetsel Lmft Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1103 Jenson Ave Se, Watertown, South Dakota |
| Authorized Official Name and Position | Todd Whetsel (OWNER) |
| Authorized Official Contact | 9184062512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Whetsel Lmft Llc 1103 Jenson Ave Se Watertown SD 57201-5259 Ph: (918) 406-2512 | Todd Whetsel Lmft Llc 1103 Jenson Ave Se Watertown SD 57201-5259 Ph: (918) 406-2512 |
| NPI Number | 1467260125 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Medicare PECOS PAC ID | 5890223051 |
|---|---|
| Medicare Enrollment ID | O20250115003085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467260125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Todd E Whetsel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346412798 PECOS PAC ID: 6406398429 Enrollment ID: I20240605003969 |
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