Provider Demographics
NPI:1568426054
Name:RICKEL, KARI L (MSW CSW)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:L
Last Name:RICKEL
Suffix:
Gender:F
Credentials:MSW CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 W HAVENS ST
Mailing Address - Street 2:DAKOTA COUNSELING INSTITUTE
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-3831
Mailing Address - Country:US
Mailing Address - Phone:605-996-9686
Mailing Address - Fax:605-996-1624
Practice Address - Street 1:910 W HAVENS ST
Practice Address - Street 2:DAKOTA COUNSELING INSTITUTE
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-3831
Practice Address - Country:US
Practice Address - Phone:605-996-9686
Practice Address - Fax:605-996-1624
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD20481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical