Avery, Dadra Lei

Avery, Dadra Lei is an sole proprietor health care provider with primary practice located at 3820 Jackson Blvd , Rapid City SD 57702-3202. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Avery, Dadra Lei can be contacted via phone (188) 886-8423.

Contact Information

Primary practice address
3820 Jackson Blvd Rapid City SD 57702-3202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC7095 South Dakota

Profile Details

NPI number 1386967198
LBN Legal business name Avery, Dadra Lei
Credentials MS, LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2010
Last updated Mar 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386967198 NPPES
South Dakota Other LPC7095 LPC

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