Sallianne Gunderson, B.S.
Individual provider Active NPI Counselor · Huron, SD
NPI 1669655015 · NPPES record last updated Dec 7, 2007
Key facts
- NPI
- 1669655015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 357 Kansas Ave SE
Huron, SD 57350-2517 - Phone
- (605) 352-8596
- Fax
- (605) 352-7001
- NPI assigned
- Dec 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Service | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
357 Kansas Ave SE
Huron, SD 57350-2517
Mailing address
357 Kansas Ave SE
Huron, SD 57350-2517
Phone (605) 352-8596
Other providers in Huron, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.