| Doctor Name: | MRS. DIANE MARIE COVEY KLUDT |
| NPI Number: | 1609003805 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC MH |
| License Number: | LPC MH2180 |
| Business Practice Address: | 417 S Main St Winner, SD - 575801794 |
| Business Phone Number: | 6058422284 |
| Business Fax Number: | |
| Mailing Address: | 417 S Main St, WINNER |
| State: | SD |
| Postal Code: | 575801794 |
| Phone Number: | 6058422284 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2009 |
| NPI Last Update Date: | 06/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC MH2180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |