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NPI Code Detail

MEDICARE: MRS. SIERRA STOVER LPC

MEDICARE:  MRS. SIERRA  STOVER  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor20701SD

General Provider Information

NPI Number : 1215653571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SIERRA STOVER LPC
Provider Business Mailing Address
First Line : 1329 EGLIN ST STE 200
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-9632
Country : US
Telephone Number : 307-660-3249
Fax Number :
Provider Business Practice Location Address
First Line : 3315 S VALLEY DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57703-5944
Country : US
Telephone Number : 307-660-3249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2022
Last Update Date : 10/14/2025

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Directions to “ MRS. SIERRA STOVER LPC” Practice Location

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