Doctor Name: | MRS. JESSICA VOS LUEKING |
NPI Number: | 1629315817 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC-MH, NCC, LAC |
License Number: | LPC-7173 |
Business Practice Address: | 101 W 69th St Suite 100 Sioux Falls, SD - 571082438 |
Business Phone Number: | 6053100032 |
Business Fax Number: | 6052710200 |
Mailing Address: | 6209 S. Pinnacle Pl., Ste. 102 SIOUX FALLS |
State: | SD |
Postal Code: | 57108 |
Phone Number: | 6059888131 |
Fax Number: | 6056102839 |
NPI Enumeration Date: | 01/09/2013 |
NPI Last Update Date: | 10/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC-7173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |