Individual provider · Type 1 NPI
Jodi Dionne Bourne, LPC-MH
Professional Counselor · Pine Ridge, SD
NPI number
1144494949
Active
Practice location
East Hwy 18
Pine Ridge, SD 57770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-MH2146 (SD) |
Professional Counselor: Definition to come...
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About NPI 1144494949
Jodi Dionne Bourne, LPC-MH's National Provider Identifier is 1144494949, issued on Apr 14, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pine Ridge, SD. The record was last updated on Apr 14, 2008.