Jacqueline M Wyatt, BS

NPI #1174642029 in Madison, South Dakota

Provider Information

NPI Number: 1174642029
Entity Type: Individual
Name: Jacqueline M Wyatt, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: BS
Enumeration Date: Mar 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 914 NE 3RD ST
City: Madison
State: South Dakota
ZIP Code: 57042-2435
Phone: (605) 256-9656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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