Individual provider · Type 1 NPI

Jacqueline M. Wyatt, BS

Mental Health Counselor · Madison, SD

NPI number 1174642029 Active

Practice location

914 NE 3rd St
Madison, SD 57042-2435

Call (605) 256-9656 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174642029

Jacqueline M. Wyatt, BS's National Provider Identifier is 1174642029, issued on Mar 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, SD. The record was last updated on Jul 8, 2007.