Wakiyan Peta, LAC
NPI #1043090822 in Eagle Butte, South Dakota
Provider Information
- NPI Number
- 1043090822
- Entity Type
- Individual
- Name
- Wakiyan Peta, LAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LAC
- Enumeration Date
- Sep 29, 2023
- Last Updated
- Sep 29, 2023
Practice Location
- Address
- 24276 166TH ST
- City
- Eagle Butte
- State
- South Dakota
- ZIP Code
- 57625-8141
- Phone
- (605) 964-0722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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