Jetson, David

Jetson, David is an sole proprietor health care provider with primary practice located at 636 Saint Anne St Suite 202, Rapid City SD 57701-4694. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Jetson, David can be contacted via phone (605) 718-5500.

Contact Information

Primary practice address
636 Saint Anne St Suite 202 Rapid City SD 57701-4694
Phone: (605) 718-5500
Fax: (605) 716-9944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-MH2145 South Dakota
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-MH2145 South Dakota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-MH2145 South Dakota

Profile Details

NPI number 1598706749
LBN Legal business name Jetson, David
Credentials LPC - MH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Jun 3rd, 2021 - about 4 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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