Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANYA MAMMENGA, LAC
ActiveAddiction (Substance Use Disorder) Counselor · PIERRE, SD
Registration Details
- NPI Number
- 1669912242
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2017 (9.1589925466176 yrs)
- Last Updated
- Mar 2, 2017
- License
-
13011557 (SD)
Practice Information
- Address
-
1714 ABBEY RDPIERRE, SD, 575017805Browse SD providers · Browse ZIP 57501
- Phone
- 6052248841
- Fax
- 6052246852
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PIERRE, SD
| Name | Credential | NPI |
|---|---|---|
| MS. WENDY WHITAKER | MSW, CSW, CATC | 1255485371 |
| GAYLE V STOVER | CCDC III | 1770747313 |
| SUSIE ROAN | CDC III | 1841424017 |
| JANICE L JOHNSON | CCDC II | 1376838003 |
| MS. MICHELLE M BOWMAN | CCDCI | 1649683392 |
| CRYSTAL HANSON | — | 1033597265 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.