Individual provider · Type 1 NPI

Tanya Mammenga, LAC

Addiction (Substance Use Disorder) Counselor · Pierre, SD

NPI number 1669912242 Active

Practice location

1714 Abbey Rd
Pierre, SD 57501-7805

Call (605) 224-8841 Map

Fax (605) 224-6852

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13011557 (SD)

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

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About NPI 1669912242

Tanya Mammenga, LAC's National Provider Identifier is 1669912242, issued on Mar 2, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pierre, SD. The record was last updated on Mar 2, 2017.