JORDAN SCOTT BOGENRIEF LPC Supervisee
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1972373488- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC Supervisee
- Status
- Active
Contact & Location
- Address
- 418 4TH ST, BROOKINGS, SD, 570062003
- Phone
- (605) 697-3002
Specialties & Taxonomies
Counselor, Professional
Primary License: SD #20859