Individual provider · Type 1 NPI

J. Gabriel Mydland, EDD LPC

Mental Health Counselor · Brookings, SD

NPI number 1518175025 Active

Practice location

928 4th St, Suite 6
Brookings, SD 57006-2171

Call (605) 691-0463 Map

Mailing address

120 22nd Ave S Pmb 179
Brookings, SD 57006

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1057 (SD)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1518175025

J. Gabriel Mydland, EDD LPC's National Provider Identifier is 1518175025, issued on May 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brookings, SD. The record was last updated on Jul 8, 2007.