Provider Demographics
NPI:1629315817
Name:LUEKING, JESSICA VOS (MS, LPC-MH, NCC, LAC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:VOS
Last Name:LUEKING
Suffix:
Gender:F
Credentials:MS, LPC-MH, NCC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6209 S. PINNACLE PL.
Mailing Address - Street 2:STE. 102
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108
Mailing Address - Country:US
Mailing Address - Phone:605-988-8131
Mailing Address - Fax:605-610-2839
Practice Address - Street 1:101 W 69TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2438
Practice Address - Country:US
Practice Address - Phone:605-310-0032
Practice Address - Fax:605-271-0200
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SDLPC-7173101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor