Jodi Dionne Bourne, LPC-MH
NPI #1144494949 in Pine Ridge, South Dakota
Provider Information
- NPI Number
- 1144494949
- Entity Type
- Individual
- Name
- Jodi Dionne Bourne, LPC-MH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC-MH
- Enumeration Date
- Apr 14, 2008
- Last Updated
- Apr 14, 2008
Practice Location
- Address
- EAST HWY 18
- City
- Pine Ridge
- State
- South Dakota
- ZIP Code
- 57770
- Phone
- (605) 867-3062
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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