JODI D BOURNE, LPC-MH, Professional PINE RIDGE, SD

Contact Information

JODI D BOURNE, LPC-MH

EAST HWY 18
PINE RIDGE, SD 57770

Phone: 605-867-3062
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Professional	101YP2500X

Indicates primary specialty

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NPI Profile & details for JODI D BOURNE · (Female)

NPI Number	`1144494949`
Status	Active
Credentials	LPC-MH
Entity	Individual
Enumeration date	04/14/2008
Last updated	04/14/2008 - About 18 years ago
Sole proprietor ¹	No
Identifiers	SD License # LPC-MH2146
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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