Provider Demographics
NPI:1194820449
Name:DRESSING, MARY C (LPC-MH, RD, LN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:C
Last Name:DRESSING
Suffix:
Gender:F
Credentials:LPC-MH, RD, LN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 86430
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6430
Mailing Address - Country:US
Mailing Address - Phone:605-322-4900
Mailing Address - Fax:605-322-4910
Practice Address - Street 1:116 W 69TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-6418
Practice Address - Country:US
Practice Address - Phone:605-322-1530
Practice Address - Fax:605-322-1531
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD2162101YM0800X
133V00000X
SD0133101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered