Provider Demographics
NPI:1871669556
Name:MARONE, SUSAN R (MA, LPC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:R
Last Name:MARONE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 E 57TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-4500
Mailing Address - Country:US
Mailing Address - Phone:605-371-3737
Mailing Address - Fax:605-371-2628
Practice Address - Street 1:2800 E 57TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-4500
Practice Address - Country:US
Practice Address - Phone:605-371-3737
Practice Address - Fax:605-371-2628
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD612101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health