| Tokata Etunwan Wakanyeza Owicakiyapi | |
|
28572 Bia 1 Rosebud SD 57570 | |
| (605) 515-3511 | |
| Not Available |
| Full Name | Tokata Etunwan Wakanyeza Owicakiyapi |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 28572 Bia 1, Rosebud, South Dakota |
| Authorized Official Name and Position | Charisse Nichelle Bordeaux (DIRECTOR OF COUNSELOR EDUCATION) |
| Authorized Official Contact | 6055153511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tokata Etunwan Wakanyeza Owicakiyapi Po Box 253 Rosebud SD 57570-0253 Ph: (605) 515-3511 | Tokata Etunwan Wakanyeza Owicakiyapi 28572 Bia 1 Rosebud SD 57570 Ph: (605) 515-3511 |
| NPI Number | 1801759956 |
|---|---|
| Provider Enumeration Date | 12/05/2025 |
| Last Update Date | 12/05/2025 |
| Certification Date | 11/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801759956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |