Ventrella, Mark

Ventrella, Mark is an individual health care provider with primary practice located at 350 Elk St , Rapid City SD 57701-7351. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Ventrella, Mark can be contacted via phone (605) 343-7262.

Contact Information

Primary practice address
350 Elk St Rapid City SD 57701-7351
Phone: (605) 343-7262
Fax: (605) 343-7293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT1159 South Dakota

Profile Details

NPI number 1952435109
LBN Legal business name Ventrella, Mark
Credentials LMFT, QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Nov 7th, 2007 - about 19 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 1952435109 NPPES
South Dakota Other 4997408 BLUE CROSS/BLUE SHIELD

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