Amanda Carter-Boomsma

NPI #1992167951 in Watertown, South Dakota

Provider Information

NPI Number: 1992167951
Entity Type: Organization
Organization Name: Amanda Carter-Boomsma
Primary Specialty: Counselor
Enumeration Date: Mar 28, 2016
Last Updated: Mar 28, 2016

Practice Location

Address: 100 S MAPLE STE 204
City: Watertown
State: South Dakota
ZIP Code: 57201-3772
Phone: (605) 450-5490

Authorized Official

Name: AMANDA CARTER-BOOMSMA, LPCMH
Title: MENTAL HEALTH COUNSELOR
Phone: (605) 460-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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