Provider Information for 1588987754
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
STACEE RAENA COMPTON MA, NCC, LPC
Sex: Female
NPI: 1588987754
Last Updated: 2022-10-22
Certification Date: 2022-10-22
Certification Date: 2022-10-22
Details
Name | Value | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1588987754 | ||||||||||||
Enumeration Date | 2010-03-02 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 1500 S SYCAMORE AVE STE 200 SIOUX FALLS, SD 57110-3711 United States Phone: 605-496-3515 | Fax:605-271-4155 | ||||||||||||
Primary Practice Address | 1500 S SYCAMORE AVE STE 200 SIOUX FALLS, SD 57110-3711 United States Phone: 605-360-6903 | Fax:605-271-4155 | ||||||||||||
Secondary Practice Address(es) | |||||||||||||
Health Information Exchange |
| ||||||||||||
Other Identifiers |
| ||||||||||||
Taxonomy |
|