Provider Demographics
NPI:1205315017
Name:HAPPENY, JACQUELLYN (LPC)
Entity type:Individual
Prefix:
First Name:JACQUELLYN
Middle Name:
Last Name:HAPPENY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6330 S WESTERN AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-3412
Mailing Address - Country:US
Mailing Address - Phone:605-310-0032
Mailing Address - Fax:605-271-0200
Practice Address - Street 1:6330 S WESTERN AVE STE 140
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-3412
Practice Address - Country:US
Practice Address - Phone:605-310-0032
Practice Address - Fax:605-271-0200
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC20230101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional