Provider Demographics
NPI:1689631269
Name:JORGENSEN, KATE L (MS LPC)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:L
Last Name:JORGENSEN
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
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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
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
Practice Address - Country:US
Practice Address - Phone:605-996-9686
Practice Address - Fax:605-996-1624
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SDLPC1134103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD4994197OtherWELLMARK BCBS