Tanya Mammenga, LAC
NPI #1669912242 in Pierre, South Dakota
Provider Information
- NPI Number
- 1669912242
- Entity Type
- Individual
- Name
- Tanya Mammenga, LAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LAC
- Enumeration Date
- Mar 2, 2017
- Last Updated
- Mar 2, 2017
Practice Location
- Address
- 1714 ABBEY RD
- City
- Pierre
- State
- South Dakota
- ZIP Code
- 57501-7805
- Phone
- (605) 224-8841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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