Individual provider · Type 1 NPI

Wakiyan Peta, LAC

Addiction (Substance Use Disorder) Counselor · Eagle Butte, SD

NPI number 1043090822 Active

Practice location

24276 166th St
Eagle Butte, SD 57625-8141

Call (605) 964-0722 Map

Fax (605) 964-8905

Mailing address

PO Box 83
Lantry, SD 57636-0083

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7051316 (SD)

Addiction (Substance Use Disorder) Counselor: Definition to come...

14 other providers at this address

About NPI 1043090822

Wakiyan Peta, LAC's National Provider Identifier is 1043090822, issued on Sep 29, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eagle Butte, SD. The record was last updated on Sep 29, 2023.